1990, 09-27 Permit: 90004801 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90004001 ;.?Al'!::::::: 09/27/90 PAGE= 0
'E :tiit._D PERMIT
.. . ..X-- ...... PERM .„N,•- -MA•t• , ;
:!?•-jf-ji-:�!:•f£•i?-ii••j?.i>••)?••sr i?•»-1;-ii• !:i;••ii•it�::it•i!:�±'-r±-tr�±-ar•n.• #.:#:::#• t�.i. 1 �.!•�i”}..)!';. 1 ION�it! P•1?-}!•it 1!•i!'i?'i?•7!•Jt•i{'it•i!:}>•1!•N:i!-1!•i;iL it-r-ii-*i•)t iY
ADDRESS= SPOKANE WA 99216
PERMIT UEE= SEWER CONNECTION — 8801
ie* S E E NOTE iE it•i*
PLATO= 00 1 -S44 PLAT NAME= OPPORTUNITY I E#'tRA ::is. 3RD ADD
AREA= 0!,;i 1;?i:I i:j t.:j,;_j t':j } ,/r r:: #: WIDTH= DF:• 'T#••1::- #:;,.,'k,,{=::
OWNER= THOMPSON PHONE=
STREET= •I :i412 E:. ,:A L # t ,?S i". (fit 11!::.
ADDRESS= SPOKANE WA 992-16
CONTACT NAME= LEONARD .... t..t n
PHONE N_ 1 Jt .
509 ti ?^ 8964
BUILDINGSETBACKS : FRONT= LEFT= NA RIGHT= NA { = NA
i{•i:i'h•i{-•Pi${-iii'Pi•iE i+:*-iC-'Pt ii••Pi*•P•*•Ai Pi'i'i•Pi ini•jf••if•j,i i,i:}$i}• SEWER PERMIT 'i•:P:-P:•'F:-A'N:-P•i,:**!±•'R•14'1C-)?•p,'N:-H:94 i{iR--F:-P:P:At i+i-H-iHi-!t'i{-
cON i !":(••It.: ! S CONSTRUCTION ' HON E 509 926
... i... : " lis 1 7 1E: '11 A#. i.I::.Y'WAY
AVE
ADDRESS= S#'OK':ANE WA 99206
ITEM DESCRIPTION !i..ii.N-J••# r ' #..EI:: AMOUNT
PROCESSING FEE 10,00
0
SEWER CONNECTION 40,00
) u: rRa : ; ; ± :) i „• s* ?i *a ? us ; ; ; ;*uuPAYMENT : .'tqti r r NH „ iii if itii janhHnR
:iiiyj .
PAYMENT DATE RE RECEIPTO PAYMENT AMOUNT
09/27/90`0 }::903 50:.00
TOTAL DUE= .00 TOTAL PAID= 50,00
PERMIT ..I ,f#:'F FEE AMOUNT AMOUNT PAID AMOUNT OWING
:.,...i PERMIT 50 00 - 50 ,; i.i .00
50.00 50:00 .00
PROCESSED BY :: :.il.i#....I.t-. ,-t'#(• t tO
PRINTED BY : jULIE SHATTO
SEWER U.• AS—BUILT INFORMATION is AVAILABLE . ....
THE COUNTY
UTILITIES DEPARTMET 7: 7 '
CONTRACTOR OR (`Yf'E`#...:#:i.'•ANT I '.' TO FIELD LOCATE E:: AND CONFIRM i t"! '1
ELEVATION AND�? #'r.i��•.!. t .!.t.l fti t.1#- SEWER STUB PRIOR .i(.. f�i J T OTHER
EXCAVATION
TO LOCATE E Bi.JR ED•:.rA:s#_ES GAS PIPING, WATER LINES, ECT ,
.: , BEFOREYOU t? } } .
SEWER R STU i,., ARE:: TO BF CHECKED I PRIOR TO CONNECTION _Ii:' INSURE
THAT THEY ARE CLEAR AND t.iNt.1B,.:T#.k.i(..UNOBSTRUCTED "i O THE SEWER MAIN
•iii ri u a:i.i':a,-ii•ii CALL FOR PRIOR ..I , COVER r
i:.:...:,.::',: 456-3604 .. .h..A:•.1f:•P:•.:)!..j{..
9 ±P1 ) it tii iii inF 9g ; H ) :p; gjii *iiiTHANK YOU ***********************K*********
*9RtHkiiji » `9h19i } kiiP4iPiiEk) i ;
SPECIAL CONDITION CHECKLIST
Project
Address: - Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( ) — ---
Lock Box
Engineer's_.____ _ _ RID/CRP —
__ Easements
Road Plans/Improvements
Bonds _
•
Planning — Bonds —_
•
Utilities. • Double Plumbing
ULID
Other
•
—*** ***********"""""`""""""""THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY**"""""""""""""************""
Date received for C/O processing: . Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: ____ . Date:
Filed insp finaled by:_ _._________ . Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _____ Date:
Plans returned: _ . Received by:
No response from owner/contractor-plans destroyed: