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:______________ _ ________—_________..______.______ _______