1990, 10-24 Permit: 90004843 Sewer SPOKANE COUN f ._PARTMENT 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,oras 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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— SI;TE ETREET- 6i6 E" VIRGINIA ET
ADDRESS= SPOKANE WA 9-9216
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GENERAL v
SEWER STUB AS—BUILT INFORMATION IS AV:A:ILABLF AT THF OOHNTY
ELEVATION ff:::..ND: ROZ.:1:11-..ON. .0E SEWER ET!..:P PRIOR TO ANY OTHER .,
,ri
S ARE TO PF CHECKED PRIOR TO CONNECTION Tfl
THEY ARE CLEAR AND —UNOBETPUL - 1 !..i Li-tt SEER
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box
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Engineer's RID/CRP
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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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—"*"--*****—**** "'”•Ii"THISSPACE FOR COMMERCIAL PLANS TRACKING;CERTIFICATE OF OCCUPANCTONLY""***"********"***********"—
: • • • • .• • . ,
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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: --------
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S P CD K A N E ? , + w4 k =F C O U N T
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: September 26, 1990
TO: Robert A. Long
South 9415 Sands Road
Valleyford, Washington 99036
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 #90-4843
DATE PROPERTY ADDRESS FEE
09/26/90 South 616 Virginia Street $ 50. 00
Amount due and payable $ 50. 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 6, 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