1991, 03-13 Permit: 90005450 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
+"+'':!l !l::...: 1 NUMBER= 70P005450 ISSUED PERMIT DATE= 03/13/91 PAGE= 01
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SITE STREET= 405 N SUNDERLAND i PARCEL0= 17543-1028
ADDRESS= : t t WA 99206
PERMIT i_iSF ::: ``EWER CONNECTION A87-1
*** SEE NOTE ***-
PI...it T';I:-:: 00'i =..,: F''i...A ( NAME= OP`r`:.TR:. i ....: .?S
BLOCK= •I «%,"" LOT= ."("i J +•,i:- :1 11' /
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AREA= n:•
rit:r!:?t:>>;?t:y !••,'{"t:::: !.. W:{:t:;"('I..I= DEPTH= R;'W_::
. OF :ll1 , . „ DWELLINGS= br - yDIST
IS• .
t.IWNE:.i{'::: DAY, CLARK ,?c GRACE PHO PHONE=
JTRD
ADDRESS= SPOKANE L4A 9'i ''...)':,
CONTACT P -1F : TOM STONE '' _ . I. NUMBER= 5: ? 928 7710
!{i.:EL..DII4tY SETBACKS : FRONT= NA L.EF 'F'.... NA RIGHT= NA REAR= NA
.P:.p..P.n..7t..P:3!•9!•Jt:R••P:9k P:•P:P:ik 9ry P.•*.**••14•i{.••A:•A••P:*•if*• SEWER !''!::.!".C'1..;. ! i!•iC•P:•h R•'P:'R••P:*•it:•1!•-}t•*:•A:*:.P:*..P::4•P..*.P:•P:•P:i!..p.*.j{.**
CONTRACTOR= TOM STONE EXCAVATING PHONE= :09 : 8 7710
STREET=RE::E::T•-:: 'i 'i 1 i`N I"i-+ 'iI:F'. RD
ADDRESS= SPOKANE WA 99216
ITEM Ei"# DE:.,'CRIF'T:I.fiN QUANTITY FEE AMOi.;!
PROCESSING IFF E::E:: 10,00
SEWER CONNECTION i 40,00
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PAYMENT 1A 7ERECEIPT::: PAYMENT
' r 'EuT AMtUN
03/13/91 1223 50,00
TOTAL d L. t?UE:::: :00 TOTAL
AL i-'A.E1i:::: 50.00
,..,,...,, .+..v. TYPE FEE: AMOUNT AMOUNTPAID AMOUNT OWING
SEWER I_.. 50
50,00 .00
50.00 50,00 ,00
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t:
SITE NOTE :!::. : t !F''1. ::_ GENERAL!'4!•ii... f?E:.F'' T = .(:+i.3].#...;?.I.rNG.Y h;
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SITE ALSO INCLUDES NORTH :°+!:? ; :;t.l!'.+?!::.":!...t-?t.!? ..!r 7 I.i
F'P':1.!1.•I::.,.:,::1::.i? .l'.{'r. : :.!1.!I. LL:. SHATTO
PRINTED !::T : JULIE SHATTO
SEWER i::.R :.. ti.iB AS—BUILT f' ,,#`NF i::iRMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR O ;. r "t' IS TO LOCATE D CONFIRM THE
E:.#...t::.tir r•.t 1 I(:J i J AND D }::=I iz;`a:•! .E(.IL'N OF I I W t::. '. STUB PRIOR TO i rpt 'r.- OTHER
EXCAVATION
TO BURIED t.:w;I:SI...1::.S; GAS PIPING, WATER i'<. i....i.rNi::..J ; ECT ,
CAi...1... BEFORE YOU DIG (456-8000)
SEWER STUBS ,+R E TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT ! 1E::•Y r..t i'?E CLEAR AND UNOBSTRUCTED TO •T li i::. SEWER !"!t-=!Tr-.t
•P:-P;.u.*P:-P:;ro!* CALL FOR
INSPECTION +•'t't..!.t.!Pt. TO COVER .+,:..ie m it-P:**P:if if
REQUIRED iii**3i•3i•3i•*** :•:: HOUR NO.'_. E REQU.t.t^;,ED .j;.3i•i,:.*i+**..,:.**
**:Pi***'*i*••'f 456-3604 *•Pi**iu,iii*•.Pi**
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J.......t•.:...}.1.1.P...S.i.t.t!1.r ! .,.7. ... you...
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 : " • f `— BondS
Utilities_ _ — Double Plumbing
ULIP
•
•
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 finated 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: _ _