1990, 10-09 Permit App: 90005264 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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perm /application
^»and correct, and authorize Spokane County m �ceouwith processing. maddition, / 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
RROJECT NUMBER= 90005264
APPLlCATION
%ITE %TRF[�_ 7O9 '•:."',11:7 RCLER RD PARCFL�= 2254 -195-1
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�7OKANE WA 99216
PERMIT USE= SEWER ~- `'rCTION - 8801
'
*** SEE NOTE * *
PLAT4!.:= 00O975 PLAT NAME= G.E.BREDE^ % SUBURBAN HOME ADD .
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BLOCK= j • = 5i ZONE= AG%UB F
AREA= 00000000 �/A ~IDTH= DFP | n= R/W
= �
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-��EET= � -% VERCLER RD
ADDRESS= SPOKANE WA 992i6 •
CONTACT NAME= DONNA COURCHAINF PHONE NUMBE�= r- ' i •
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*�***********************
-'� x ��*��'.- - ' ��*�***x**** %EWER PERMIT *****
^ . ., ^ ^ '
CONTRACT R= COORCRAINE CON%TRUCT7"; PHONE= 509 924 5487
%TRE T= -i64O2 E VALLEYWAY
. ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------------- -------�
---------- i0O0
PROCESSING FEE Y � 4�^OO
- SEWER CONNECTION `'
PERMIT TYPE rEF AMOUNT AMOUNT PAID AMOUNT ?WING
---------------
SEWER PERMIT 50�OO ,O0 5000
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---------- 5O
50 'OO .00 ^00
PROCESSED BY: JULIE %HATTO
PRINTED BY': JULIE %HATTO
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%EWER %TUA-A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-36O4 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWritz STUB PRIOR TO ANY OTHER
EXCAVATION'
PIPTN� WATF� | JNE% FCT
TO LOCATEj�URIEDCABLE , �A%� ' , '
' CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE-� B ED TO C
OC NNEECT**�*IO** ******IN**
%URF
THAT THEY ARE CLEAR - DOI
- ' CALL -FOR I ~PF N- PRTOR TG -CCVR
** ******. 24 HOUR NOTICE REQUIRED
456 * * *****
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******** T�A�K YOU
** ********************
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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
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`~^~^~~``~^``~^^^`^`~~^~~~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: