1990, 11-05 Permit App: 90005902 SewerSPOKANE 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 NUMBER= 1::.R:_: 9:ie,ji•,aL::90
*3e ii•3* i* ii•3;• 3*3* 3* 3* ii•3*3*3 3* t h:•3** ii•i?• ii i* 3E* *3**
APPL 1CAT 1ON
SITE STREET= (=:: 3 9 E UNION R()
ADDRESS:::. SPOKANE WA 99206
PERMIT
.-31
IC
DA 9 :. PAGE= 01
APF ICATION
3* 3* 3i• 3* i:• * i* 3* • * 3* 3* 3k 3* 3.3* * 3* * 1* X 3* k********** . *
PARCEL4= 2-1541 —1015
PLAT NAME= OPP.TR. 1-354
BLOCK= i ; p L..(T":::: ZONE= AGSUB DISTO=
AREA= 00000000 F:','r.^.F-:: F WIDTH= DEPTH=
c)l" BLDGS= •i :H: DWELLINGS= 1
OWNER= PETERSON, L.. +., (::: PHONE=
=::
STREET= rtiEc:.T:::: ..h09 ;, UNION 1....
ADDRESS= SPOKANE WA 99206
CONTACT Nf=1i"iE::::: DONNA cc:t.):_:Df A:F.NE:: F:i..(:)NE NUMBER= 924509 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= INA
3*. 3..r;..i* *: 3* 3* 3* 3* 3* 3* 3* .j*. 3*..it' •i* 3* •'a: 'a• it• 3* 3* p: 3* 3* •a 3* 3* •b: ; a E^PERMIT t k 3Ah* 3* * * Y* p�pp� prRF* Pi*P3pP
*
CONTRACTOR= T. R:::: (::(-IU..C::i••ir' CONSTRUCTION PHONE::: 509 924 9485STREET= •i ,,, 4 C•j , E:. 4/, r''a i...1... E:: `i' IAJ A 'r'
�,! 1.
ADDRESS= ',.`r:-E�=f��Dt4,i...E:: WA, �j03 r
ITEM DESCRIPTION QUANTITY F E.: E: AMOUNT
PROCESSING i'" E:. E r' 10.00
SEWER CONNECTION 1 .10:.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT (.ii`i'i OW:ENC;
SEWER PERMIT 50.00 ..00 '.:y':^i.:'i :i
50.00 .00 50.00
PROCESSED
BY : JULIE HATTCi
PRINTED BY : JUi...IE:: >i'1AT'TC)
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT :f. S TO FIELD LOCATE r ND CONFIRM i:i THE1..:I...i;"\
ELEVATION AND POSITION OF SEWER STUB PRIOR T(:1 ANY OTHER
EXCAVATION
TO L..(:)C:rtTE:: R1J1::I:EDCABLES, GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (496-8000)
SEWER STUBS AF?E:: TO r BE.: CHECKED PRIOR TO CONNECTION TOINSURETHEY ARE CLEAR AND UNOBSTRUCTED D TO THE SEWER AMAIN
•;i• ;i• * •;r •x x 3* 3* 3* CALL E (:l Ft INSPECTION PRIOR T C) COVER A s: 3* 3* ;,: 3* 113* 3t• •A•
3**3*3*3*3*•K•3t3* 24 HOUiR, NOTICE REQUIRED 3*3**3*•i*k3*3*3*3*
3*3*3*.j*.)i.*.** * 456— 3604 .j*..14..jt.p. ..p..j{.R.*•i*
:!*it•3*3*3*A•3*3*3*3Er•3*ri•3*•it•3'•3*3*k-3*3*3*3*3*3*3*3*3r3*3*3* • •• . •"' •"'
THANK I� t �i K y' tl i_ J �t �r �!• >~ yt �t• 3r it �• ii• 3i• 3* 3r * *.ir •ir * 3r * 3* 3* * * * i* * 3r 3* 1~ 3r 3r )*
SPECIAL CONDITION CHECKLIST
Project
Address. Project # Use:
Dept: Date: Condition:
Dept. of Bldgs.
Engineer's __
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
PlanningBonds
Utilities
Other
Double Plumbing
ULID
!nit: Appr:
(in) ( (out)
THS,SSPACE FOR COMMERCIAL PLANS TRAQKING;R.0 TlFlCATEOFOCCUPANCYONLY**********"*******************
Date received for 0/0 processing. Plans pulled for final processing: __
Temporary 0/0 issued:_ Certificate of Occupancy issued.
Office file review by: . Date:.
Filed insp finaled by Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: __
Plans returned'
No response from owner/contractor - plans destroyed:
Received by:
Date:
Of/0
JOB ADDRESS : , 6 _tzi C_7j7
SUBDIVISION: / 6 «/ - r o / LOT: BLOCK: ? ( 7
OWNER: e..(2: --t.(2_44.0.3-177/
ADDRESS:
CONTRACTOR:Lb--SSL
ADDRESS:
PHONE:
PHONE:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY:
1Q-oo
Q./ Sal-/oD7 ����