1990, 09-27 Permit: 90004796 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 permit/applicationis true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read u understandmo /wopsoTmwnsoumewswTuwoT/ce
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
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1 -
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PROJECT NUMBER= 90004796 DATE= 09/27/90 PAGE= Oi
I%%UED PERMIT
**************************** PERMIT INFORMATION ***************** ** *******
SITE STREET= 1904 % VERCLER RD PARCEL4= 27542-0906
ADDRE%%= %POKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT4= 0Oi220 PLAT NAME= HILLCREET PARK ADD
BLOCK= LOT= 6 ZONE= AG%UB DI%T4= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDc%=
OWNER= MARCH % H & K A PHONE=
�
STREET- 1904 VERCLER RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 0964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= H & % CON%TRUCTION PHONE= 509 926 8964
STREET= 1180 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEF AMOUNT
PROCESSING FEE Y iO.00
SEWER . CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
09/27/90 5006 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50 .00 50,00 5O.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GA% PIPING: WATER LINE%, FCT.
CALL BEFORE YOU DIG (45"-8OOO)
%EWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
************ ***************** THANK YOU ********************** *********
f
SPECIAL CONDITION CHECKLIST
Project
Address: Project#
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
. .•.., . . • . .
••• •
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••
• , •
Planning. Bonds_
. . • ••
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•
. . . . . . .
•
. . .
Utilities Double Plumbing .
. .
. • ULID • • •
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. -.•
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Other__
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•
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*'***"************—**'''",.* ***-THI:S.SPACE FOR COMMERCIAL PLAi\IS TRAtiKI•N ,CERTIFICATE OF OCCUPANCY ONLY*''****************************
Date received for C/O processing: Plans pulled for final processing:
Temporary 0/0 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 ownerIcontractor-plans destroyed: -------- -
—ask.