1990, 12-11 Permit App: 90006711 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 } 90006714 DATE=- 12/11 /90 - '.i-}..
- _. _. z�, ... -� :, _.. .: +:..j;•int
it 3c it 7r�i a)t ? E�t is xt)t}t t?. >t ii 3•ik iL it i }i�E l:tr it f t
��::c
" !' N rti }..{,t il.i.'i.f }_;::{'.. .... -.. `Aftt ! w •• 1-6542-2108
f..}}„r i.?r.. t f .," .iK Aist... ..,p..'1 .. .
PERMIT USE= SEWER CONNECTION •
PLAT,w_
BOCK-:.i :i '•:3= a •h'
;.: : ROBINSON
.r
L
AREA- r WIDT — Yo
} IA4}N4 t"�• PHONE- 509 445 -
LdA
•.
r.. .. ... _.. }
;"i i'•i ;:ei..,.; .. .. - .its r3 i,', J :?F:.is"- 509 :3645
B D:41\4
.. -
:,...
pERmiT
i..?b Ittfi+. k
f e.:Ea.. . .::...+s;i-Y ;tet BRUCE i--}
sPckANF 9920C
•
... ........... ... ..
SEWER CONNECTION • 40 , 00
PERMIT, TYPE FEE AMOUNT AMOUNT PAID AMOUNT oLrp-Jo
}, ....!
lvi I ,f : f ...
SEWERAS—BUILT , . AvATLABLE AT THE nOUNTY
POSITION -OF• ELEVATION AND
LOCATE BURIED E i tt,E,tt.I. 4 ,, GAS L: t I Ni,:,r t;.iA I t• .. -
CALL BEFORE YOU DIG (456—S000)
SEWER STUBS ARE E t: 1.. �;s,.. CHECKED
..:I,-i i::.t...h,!::.11 PRIOR T O CONNECTION W.,:.:.. i•=E
_ : .;... CLEAR "t' ... ..#N`.:!.:5,.: t t•S I.„ICTI::.D TO _i H i::. `.I:;,W5.i.
.... ...
! p e u u + CALL FOR t Il'•! .I_},•,} •� .I �! .t i�J �..��i _.t.t {_��.;1, .3i•:�:i:-':'!
f rf;R}i•j{!...!:.) 24 i..t.R: NOTICE l l t..?U t i
.F:it•- .•,• h.:. '...} .Yl:i?-ti'�:'.. ..??':'. .. ..
.. ....., ... .. .. ...:31 s•.sr.::r.:;.i:.::.:...:... :.a•.a•.:„i:'` •.*ij.:,::f:.:,,.:•* j.:j.!V:•••t• '.:f:.
.,,..!,..,,..y..!;.if•it.h r.i!:i`.:-. :':i!.•t:•9?•:!+.i}•,t.,:r.,!.-!:!,„:.r...:? :�.3!.:n: } �'4 f:'r 3 ..:i'.j!:.ip Vit....!. 7...,.•r{It!.!..... ::•!`...j..:,i..}!. . ..
•
•
~ ' '
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit Appr:
(in) (out)
Dept.of Bldgs
Spooial |nnp Final Report
Hydrant( )
Lock Box
Engineer's ' RID/CRP
Easements
Road Plans/Improvements
--�
Bonds
. '
Planning __. Bonds
_-'
--/
Utilities � Double Plumbing
ULID
-- --
Other
``^'^~^`^~`'`~^^^^~~~~~^~`^THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFDCCUpxNCYONLY~`^^~~~~^~^~~`~^~``~`^
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Dom:
Filed inapnnalod by: . Date:
Ninety days afteC/0 issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from plans destroyed:
, .
o- la
JOB ADDRESS:
I 5 IC) 0 ° 6k{Ptc_Do e. � , .
&--F_
SUBDIVISION: LC /t6 )1 ) A �/d LOT: BLOCK:
OWNER: PHONE:
ADDRESS:
CONTRACTOR: P (.SCS �— v� J PHONE: l ' . .-,5.---:50(tS
ADDRESS: 3 O L( 1-4-) • Ii3 A l/`- . ?'-'-a4?
LICENSE # : A 8 Le* L----7 * ,YeiD0)13'
INSPECTION DATE:
TYPE OF OCCUPANCY: