1990, 09-21 Permit: 90004477 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
/ W. 1303 BROADWAY AVENUE
| SPOKANE,WASHINGTON 99260
(509)456-3675
/vomf'mat/ouvooxummoum/oponn/vunnnounon.mommutmomrv,mat/vnvonmmeumnonusuumnteouvmoonnvagentmvomnnooxmpermit/application is true
and correct,and authorize Spokane County to proceed withvmoossmn In additionhave 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= 90004477 DATE= 09/21 /90 PAGE= Oi
ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= 203 N %KIPWORTH RD PARCEL4= 16543-0317
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - B87-1
*** SEE NOTE ***
PLAT4= 00i852 PLAT NAME= OPPORTUNITY(TR. 1 -142INC. 143-35
BLOCK= 16 LOT= 3 ZONE= AG%UB DI%TO= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLINGS= i
OWNER= PETERS, G PHONE=
STREET= 203 N %KIPWORTH RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
%TREET= 1640::;?. E AlVLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
O9/21 /90 572i 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ..................................................
SEWER PERMIT 50.00 5O.00 . 00
------------- ------------ -------------
5O.80 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG- (45.;-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
*****�*** 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
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 Plumbing
— ULID
Other
****`*`************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received-for.0/O.processing,: Plans pulled for final.p.rocessing:
Temporary 0/0 issued:: 7:. 0"ertificate"of Occupancy.issued:
Office file review by: _—_- _.--_ , • - -- -- -u•---- --- _
Filed insp finaled by: . Date.
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: ___ _ .__._—____ ____-.. Date:__ ____.__..__._______ ___-________
Plans returned: ---.------.___-._-- ----------------. ---------.__-_ --__.Received by:_._—._.—_ -------..-------__---.------------------_____
No response from owner/contractor-plans destroyed: — _ —____—_____._.___-