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1990, 10-25 Permit: 90005264 Sewer SPOKANE COI.►NTY 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 8p ` _ SPECIAL CONDITION CHECKLIST Project Address: Project# Use: Dept: Date: Condition: 'nit: App,: (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 OFOCCUPAwCvOwLv~~^~^~~^^^~`^^~~~`^```^' 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 afteC/O issuance: Owner/contractor called regarding the return of plans: Date: -_ Plans returned: Received by. No response from plans destroyed: • �i friF*: a e C O L.J. N T Y S P O K A N E ��� . ��€is�pk �,aef�z�, DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR INVOICE DATED: October 10, 1990 TO: Courchaine Construction East 16402 Valleyway Veradale, Washington 99216 Please make checks payable and mail to: SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY West 1303 Broadway Avenue Spokane, Washington 99260 ATTN: Julie Shatto, Building Technician REF: Sewer Connection Permit Application DATE PROPERTY ADDRESS FEE 10/10/90 S 709 Vercler Rd - 90005264 $ 50. 00 N 107 Skipworth Rd - 90005267 50. 00 E 13206 22nd Ave - 90005263 50. 00 Amount due and payable $ 150. 00 Pursuant to your request for the above sewer connection permits, we are issuing an authorization to proceed with construction, however payment must be received prior to October 10, 1990. Failure to remit this amount on or before this date will result in a double fee being assessed. Thank you for your prompt attention. WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675 FAX (509)456-4703