1990, 11-19 Permit App: 90006265 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 County to proceed with processing. In addition, I have read and understand the INSPECTIO\I 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
PROJEGI NUMBER= 9! 0 : " d 1 ! DATE= t h If : ! PAGE= 1 1
APPLICATION
: i7ti : e a*: } 9 } : ***t : H} : L .h: G} APPLICATION
' ^E ; ir1 ( N **Vijt $ ) t ! Y) Htn. 1ayt*: riyj *} ***9
SITE STREET= 720 <'. V i"i't#..E...t::F':. RD 1) E.?:;t is r:+ O= 22542-2
Y ,..
ADDRESS=.. •;POKAN E WA 99216
PERMIT USE= SEWER CONNECTION — 9001
• it•) SEE N: ,E *,:',i:
P tiv:1 T4= 000975 BL
i •''Fr .. .. LOT= '~ t'ti ZONE=
..:v. ;t.;e,it,#i�i .•r�.,Tr N ..II
AREA= t;:j.,j?'.i!.i(.;000 t:;`A= j:- -fa WIDTH= DEP '..I::::I i=/lai::::
OWNER= EVERETT
STREET= 720 VERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME— DONNA r-t i..:+itt 'Ci,Aa,,E PHONE i:`•1;`t, i #, * 50 924 5425
BUILDING
._. SETBa ^ ` FRONT= ; g LEFT= y i RIGHT= • yREAR=
}t.a.k R!!7t.P.A.N. A!!p.r! P.&9::.x..},..}!.*.}t:4k:!•9!••!!••}k•7!':e:* SEWER ±''±::.#•iM.i...:. .J,;:1?.:t..;.:::::• :.•f•:n:ai..,,..v.'.tit+,'•:t;. :t::j..:.*:,:.j.:?j.:{..(..{.:71.a;..?;.
CONTRACTOR= t.:#.#i:ii-�:?.h'!f��'a.±.int: CONSTRUCTION PHONE= ..i,:} s� �. .... ._ ..... _.
STREET=i'-•_ i i.!•40.'j E VALLEYWAY
ADDRESS= VERADf•iLE::. WA 99037
ITEM E::.M i?#::.;.:C<<I tI.i„N QUANTITY # r'E' AMOUNT
PROCESSING Ft::t:: •
SEWER CONNECTION,rN 's rr.0
PERMIT TYPE FEE AMOUNT AMOUNT AMOUNTi�ii.J''''r�•ii':
SEWER_PERMIT 50 i:is j ..':10 50, 00
PRINTED50„00 ,00 50 ,00
PROCESSED BY : jULIE SHATTO
BY : :.fUL3:E. , Hrt . ± C
SEWER STUB AS—BUILT !.N±"O,+.I"?f"; ± :.t.3t4 TS AVAILABLE AT
_ COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT i. TO FIELD LOCATE AND CONFIRM THE
ELEVATION f'l l'D POSITION OF SEWER t, 1 PRIOR
EXCAVATION
:•
± ±„s ±_.i_!±..::
LI) t,is•i i;: #=r 1,.7 A .
I .
.
:; � ixi �i'i r:.±'t I_ •;i�� ?.: {
t.:F ±...t... r.-5 .±”t.{E;.t::. T O U DIG 1:'D6-9000 i
SEWER STUDS 1-t±'•.±::. TO j:;{:• CHECKED PRIOR ii CONNECTION
tNN+ . iE ? i ii
INSURESI"i
THATc � ` .- CLEARAND UNOBSTRUCTED ( (( SEWER MAIN
kkHk4hr CALL FOR jr : . ,TIr ' PR::- T( COVER hhp : :: ..
**ma***** 4 HOUR NOTICE REQUIRED
x-******** 456-3604
...............................:....
.l,.�f......,,..Y:7!'9`.;9!•9!•9':N:•y.,•;?:9?.•Jt:13.9•::.:R: !tH' THANK i v t U A::.A!l '1i ?t' 0; . f. 4C:1- .i..i;.
r y
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: __
JOB ADDRESS: 67 - L-L).-D
l
SUBDIVISION: D I Z d- 1 LOK LOT: BLOCK:
OWNER: 1( PHONE: c )
ADDRESS: /�
CONTRACTOR: `t.b-I-CA 1 Q_L PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: