1990, 11-06 Permit App: 90005965 Sewer SPOKANE COUNTY DEPARTME 4T.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
APPLICATION
: ::...s.i: .Y.: :: i:i:: i..:.!i..: :.j." } j:, j* iiji** 1FF _ltATTON ******** **:A.************ ** **
:..
: :..:
SITE E ..'. i R i::.t::. ! :..:'0 l ::: UNIVERSITY I?.D - A i°•.C?:: .... .. " 29541 -0504
ADDRESS= SPOKANE WA 99206
PERMIT USE= EEWFR CONNECTION — NORTH KOKOMO
PLATO= 000382 PLAT `-tA':E.. CHESTER H .... ADD,.
1-1;:::
i:'ti
AREA= 00000000 ;:it::. AGRI ..(j#... •1 .. t'<, .•,1:..
OWNER= KRUIZENGA, ROBERT PHONE=
SikLLI = S UNIVERSITY RD
ADDRESS= SPOKANE WA
PHONE NI J 'i t i^,"•,.... •i 9 926
2:.' :i
^ :....:.
BUILDING SETBACKS :{ FRONT= �J a LEFT=:::: i�J r`:•t RIGHT= '�1 i:• REAR=! i'•i A•.
,.".. ,EI.r.
'P:it:?•'Jt'A:'P:'!t:n:i?•:n:•A:3!:P:'1t:'P:�{..Pi$:a:a:'P.•'Jk i!::k 9k it:',t P::n: }?::.f.,l?::... {.:?::.:`°?``t ;, ? ***************************x**
CONTRACTOR= ., :;v E CONSTRUCTION PI.:i...{?' i.:." 509 ::y,:: •,t:_y,:.:i
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE 99206
,... '!:,
a. ? ?::.i"? �,,....::•i.:!�.a.I" ? {..�1`J {.:?l.i r'-s W? .i. ? Y 1"I::.::.. f•i C'{(,i{„){'+, I
PHook..EEiNG 'FEE 10,00
FEWER CONNECTION 40, 00
PERMIT t ="?::. !”?::.?::. AMOUNT L,tNAMOUNT i.. PAID AMOUNT OWING
... ........... . . FRMTT..... .. .... . 50, 00 ,00 50 ,00
PRINTED BY : jULIE SHATTO
i{": i:'i::: :..'Edt.l.!.!.....I. .I :+}1:7?"111:;' !•.i..I..;nli} .I..` ;::} [•-� �{ i:!{'i:...1::. i•4�: •'i•'� !�.'�1i J!,I••`•.i:
{.:-...!, ! !.,!_!{ { i{?'' UH I•r` :.:{P t !....i.i..:A i`% I TE TO 1 .?.{.. ?` LOCATE ba tt I, CONFIRM T{..?i.:
ELEVATION AND .'O::- .i. . I1--iN ..??' :,,'EWER ... . U{ PRIOR TO ANY
OTHER
,. LOCATE
{....:i?...? {.:!..1..1._{?'11•' Y I{t{ .i.'.t i::.CABLEE,
,�:—;:i e.-}i"•':i:!'`!
SEWERSTUBS ARE ,
O BE CHECKED TO INSURE
--, .... t.:;�":?::. CLEAR AND UNOBSTRUCTEDCONNECTION.' _i.!��q i���� MAIN
-. .?:?... i,:..:n:.);:.)!. CALL FOR R .I.N:':L:i::.i.: f `N PRIOR COVER pr jti..1{::!k in:i!!.;!(.:)t.j!..j!.
),...)f:******* 24 HOUR{%{R N t{ { REQUIRED ).It 1!.)? )!•:!?')i.j;.
. . 456-3604 h*********
:i..t :!i..i-:-y.a:.:'-:!i-:•.
....).........,. 7. .. .. :.). ..:. )...:. ......:...,. ....,...1., '1`r'i': 1 1 •.,:.:.. `(r.i i .. :.........R)i..iti !i !i ji.:J..y;.ji..j;.yi.q!,.j},:)!.:)z..tt r!t.ji..jr.:!!,.:!t-.^•ic:-irr i!`r?i 3ti
...-
SPECIAL
,SPECIAL CONDITION CHECKLIST
Project
Address: _ Project# __ Use:
Dept: Date: Condition: mu: Appr:
(in) (out)
� ( '
Dept.mfBlmgn
"—
Special Insp.Final Report
-- | ' -- -- — —
-- ---- ' --| HYdra» ( )
Lock-- -- - ` -- — {"" . ^� � ^ ^ ^� � � +
` ' ' ` ' `` '
- ' •
Engineer's � / RID/CRP •
--- --! �
/ { Easements . `,� ' •
Road Plans/Improvements
' ~ '
Bonds
•
'
•
` , � .,
•
` �^
Planning | . Bonds
i (�`�
--| . '�—' �� � � ���� ; = � � '
--/ _
_—'
•
Utilities / ' . DnuWep1umbiho _
UuD •
{ � �
. •
Other
`
�� �'
'�
•
• ' � �
` '�
� �'
......~~,,.,~..~~..°._���.
THIS SP/CE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY~`~``^~~~~~^`~~~~``~^~~^`
'
^
oa��oe*odmrC/0pmceosng: • ' Plans pulled for final
'processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Dma
Filed innpfinoledby: . oate:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: ______ ___-__ _ Date: __-___-__ _______—
Plans returned:
______P|ona,emm*g: Received by:
No response from owner/contractor plans destroyed:_ ______