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1990, 10-03 Permit: 90005089 Sewer SPOKANE COUNTY DEPARTMENTOF BUILDINGS W.1303 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 (509)456-3675 /oom/rmut/»u,enxum/noum/opmm/uannnoaoon.umtomutmomfvrmvnonconmmoumnunoau^m/«ouuvmoonnvagentmvompueoum» rmit/application is true and correct, and authorize Spokane County to mveo n» pmoossmu 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 O9AGswT -- -~^ / �~���~^� DATE . PROJECT NUMBER= 90O05O8y DATE= iO/O3/9O PAGE= 01 ISSUED PERMIT **************************** PERMIT INFORMATIO; **************************** SITE STREET= 13420 E %ALTE%E RD ^ � ^ .� � ADDRESS= SPOKANE WA 9T2 ; ,:, PERMITUSE= SEWER CONNECTION - 8S0i *** SEE NOTE *** PLATO= 001844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD BLOCK= i LOT= 3 ZONE= %FR DI%TO= AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 0 OF BLDG%= i t DWELLINGS= OWNER= JAC8B%, LEROY PHONE= 509 924 2355 STREET= i3420 E %ALTE%E RD ADDRESS= SPOKANE WA 99216 CONTACT NAME= LEROY JACOB% PHONE N|}MBFR= 509 924 2355 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA ************ ************* %EWER PERMIT ****************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- PROCESSING FEE FEE Y 10.00 SEWER CONNECTION i 40.00 ***** ************************* PAYMENT %UMMARY **************************** PAYMENT DAE T RECEIPTO PAYMENT AMOUNT i0/03/90 3720 50.00 ------------ TOTAL DUE= .00 . PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING --------------- ------------- ------------ SEWER PERMIT PERMIT 50.00 50.00 .00 ------------- ------------ !!50.00 50 ,00 5O .00 .00 PROCESSED BY : JULIE %HATTO PRINTED BY : JULIE %HATTO JEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY UTILITIE% DEPAR1MENT (456-36O4) CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCA EBUI�� CABLES, GAS PIPING, WATER LINES, FCT- '` 1 CALL (BEFORE YOU DIG 45"-8OOO) SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE THAT THEY ARE CLEAR AND UNOBSTRUCTED I: *********'CALL FOR INSPECTION PRIOR TO COVER ********** ********* 24 HOUR NOTICE REQUIRED ********** ********* 456-3604 ********** ******************^ : .. - ' ' :: :: THA�[ `.'��.' � = ********ux******** . . i F SPECIAL CONDITION CHECKLIST Project Address: Project# _Use:______._.__________ -- _ Dept: Date: Condition: Init: 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 PlumbingULID Other_ THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY""'""""' 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:______________ _ ________—_________..______.______ _______