1990, 09-27 Permit: 90004911 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 Conty to proceed with processing. In addition, I have read u 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= 900049ii DATE= �9/27/9O PAGE= Oi
ISSUED- PERMIT
*»************************** PERMIT INFORMATION ************************** *
SITE STREET,: VERCLER RD PARCEL4= 22542-13i2
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 880i
*** %EE NOTE
PLAT4= 000i62 PLAT NAME= BAUMANN ' % SUB
BLOCK= 3 LOT= 5 ZONE= AG%UB DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 4 DWELLINGS= i
OWNER= UNKNOWN PHONE=
REET= 504 % VERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ****************** ***********
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
STREET= ii8i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE
--------------------- '
PROCESSING FEE Y 18.00
SEWER CONNECTION i 46.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT PATE RECEIPT4 PAYMENT AMOUNT
09/27/90 5922 5 .00
-------- ---
TOTAL DUE= .00 TOTAL PAID= 5( ,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT O ING
--------------- ------------- ------------ --------- ---
WER PERMIT 50.00 50.00 .00
------------- ------------ --------- --
50.00 50.00 N .O8
PROCE%%ED 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 ANYHOTHER
EXCAVATION
TO LOCATE BURIED CABLES, PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG ( 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
** *** ** CAL' 72R IN%PECTICX rRIGR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK 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_- — — 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 called regarding the return of plans: Date: --__.___._...—_
Plans returned: Received by: _. ________
No response from owner/contractor-plans destroyed: