1991, 03-13 Permit: 90005449 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.1.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
PRftiFcT NUMBER=..; , - :. z4 9 ISSUED PERMIT i -- f : 03/13/91 PAGE= 01
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SITE
ITE STt. iT : 22: N SU
N ?i 'iANI { 1 EAilin - 17543-1022
llRES = :POANE
WA 99206
PERMIT I I E::::: SEWER CONNECTION.i:i:ttN .... :;#:s ;....•i
3!•3i-ii• ,':i::.E.. NOTE A)' )'
1-'l...fa I 4= 001835 PLAT NAME= Oi::=P:. l R:. 1 -354
BLOCK= 137 LO..... LANE= "i;'Si,•B DIET4=
I:.
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OF : : ji . T4t... r rs
. WATER DIET ....
c:ii$NE:.Rx: DAY, CLARK :, GRACE PHONE=
STREET= 221 N SUNDERLAND RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TOMSTONE , r'iONE', NUMBER= 509 92G 7710
BUILDING SETBACKS : FRONT—INT- NA LEFT= NA RIGHT= NA REAR= NA
P9 } k JR k PPnk k 9 i Phik 3 PtH PlAP4k hSEWER P: YM, -
................3*.3{•*Jk 3+i ini*3+i 3!••P:*i+t 34•)k•)k 3Fi 3!i*P•Pi
-I•I 1 509 928 7710
CONTRACTOR= TOM i7 �'•�1111 t..?Iii i-. EXCAVATING t.:rx�r r"t 1 .i.r'•?(:i .-.t.:r•.t:.::::
..T•i'•.i.:E::'T'... i 1 'i N `fll'HE::Ec RD
ADDRESS=SS::: ,.;i==Oi',ANE: LIt•"•'i 99216
ITEM Ef', DE:. 4i.:RI1 T .i.ON QUANTITY FEE AMOUNT
----------
PROCESSING FEE t{` 10.00
SEWER R CONNECTTI.ilN :i 40,00
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PAYMENT DATE E ,ir "#yPAYMENT hMOUNT
03/1 3/91 1222 50,00
tt_ITAi... DUE= .00 TOTAL PAID:::: 50, 00
PERMIT TYPE E•E:: FEE:: AMOUNT AMOUNT PAID f"iM..?..?1. , OWING
PERMIT 5(). .. .. . ..
50.00 50:.00 ,00
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SITE
TOPIC
DEPT
BUILDING
,:>.i:T•i::: NOTE : ! i:i i::=:i:r.: :::: GENERAL „i:::E"�'..i. ::::
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SITE E ALSO INCLUDES NORTH P• ` 2 h SUNDERLAND ROAD
;t'y : JULIE PROCESSED ,.. i...:f. ,:>t"1 t•a I t.J
PRINTED BY : .it.Ii...TE:: ,'i••If:Y-f'-f's',
SEWER tii( fAS—BUILT INFORMATION tAVAILABLE ATii COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS Tc:t F't:E::i_.D LOCATE E:. r?i D CONFIRM!::'IRM ••t•;..EE::
ELEVATION AND POSITION OF SEWER STUB U?:+ i•'RIt.t•c TO ANY OTHER
EXCAVATION
TO LOCATE CABLES,EUR1ED . h; PIPING , W Et LINES, : tT.
(..f.a,._1... BEFORE YOU DIG ( 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT t 1 Ilt'.Y ARE CLEAR AND UNOBSTRUCTED Iii THE SEWER MAIN3t'3i••fri fr•3*fr•i+.3i. CALL i"i.i R INSPECTION i'`i'`:i:i:.t i' ..i.i:1 COVER •h.3+.h:•3*3t..j,.:ri..ii.'n.*
3*'t+.3'3'•3'•3*3G 3i•i: 24'. i"il.?t.?i'? NOTICE t^;t::..x•t.?IR::.,.
?+:•F:9+:•P:Y:'P1 3+i'Pi i¢ 456-3604 3+i 3t.p:.i*.j;..j+i*ini 3+i'Pi
JrJ : tj ; 4 JrjJ1 *s1 M*333 *3P33 *3 *3 * THANK Y 3 3P3 * *333 3 *33P3 *3 *N * ; *33N*3 *Vi *Jpp
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 r . ...Bonds
.
Utilities — Double Plumbing •
ULID
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 calledregarding the return of plans: — Date:
Plans returned: . Received by._
No response from owner/contractor-plans destroyed: