1990, 09-24 Permit: 90004843 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 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
PROjECT NUMBER= 90004843 DATE= 09/24/90 PAGE= 01
APPLICATION
*********K4******************* APPLICATION-E . jt .. _ , :+}•
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SITE . (R E:E FE T:::: rj'
i ''`, VIRGINIA ( PAR!_:i:::E... ;:= 22542-2344
ADDRESS= SPOKANE WA c71 A
PERMIT U E:= SEWER CONNECTION .... 8801
*3?* SEE NOTE::: 3+'r3e3.
PLATt= 001692 PLAT NAME= MORROW ' S ADD
BE...'1,_!(..:n: :: LOT= ZONE= AGSUB DIST4= I
AREA== ?.i t.:+.,:?)+{:?:14.0 t...,A= 1.. WIDTH= {.?Ei:;••#•t..l= /W=
4: fi[• BL J.Jt.v\:::: i 4: 1?W±:..i._l...l.!'-1x,i,:::: -±
t,iu.iNi.:.i'{:::: MURPHY,i't , .t)i.N+t!.,.: PHONE=
STREET= ,.il •^} rs VIRGINIA >'
ADDRESS= , :=(IE' ,i ' WA 99216
CONTACT NAME= BOB LONG PHONE NUMBER= 509 924 - 7C2
BUILDING SETBACKS : t-Rt,tN NA LEFT:::: NA RIGHT= tJ r•"• REAR= NA
:,
.... ............... .... :•,FE ,r.....
•P:•P:'N:•!?•.P:M::H:4k•P:.P.:P.•!k•li••Yi'P:)+i�Pi:{•.j+;�Pt•N•3k•j{•P•a>:..j;..i+i•ii••Ai ,•.!::.4,{r:.},: PERMIT ********K********************)+.
CONTRACTOR= ROBERT A LONG PHONE= ''.5()9 924 4.782
STREET= 9415 E SANDS RD
ADDRESS= VALLEYFORD WA O ^,:`
DESCRIPTION QUANTITY
ITEM
PROCESSING Fl 1 +.' 10, 00
SEWER CONNECTION.I.(::N 1 40,00
PERMIT ± e F''E:. FEE[E t`'tf`!!_1l..j T AMOUNT t:: rI: AMOUNT OWING
SEWER PERMIT 50,00 50, 00
50, 00 ,00 50,00
PROCESSED OCE::SSED I::t Y : :.Ii.EE...1:F SHA.?(..?.0
PRINTED BY : JULIE SHA
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE t:1_(. ..(.HE:: COUNTY
t.U'........1:T1:ES DEPARTMENT (456-3604)
,x,04)
CONTRACTOR APPLICANT tN .,.,.. ... .TF:: �.,.::.
!..?!�{`. [.. ` .!.��. ± t.l i•�•1.l::.{...(J LOCATE k:. r"ir:l..j CONFIRM THE
I::.
ELEVATION AND POSITION OF SEWER STUB!„!Fi PI:4:.!.l.!E"; TO (-d t'-.'Y OTHER
EXCAVATION
TO LOCATE BURIED CABLES, IAS PIPING, WAIA ± E::R LINLS , ,.......,
CALF... BEFORE YOU DIG (456-8000)
SEWER STUBS i.U.f ARE:. TO .BE:: CHECKED PRIOR TO CONNECTION TO INSURE
, ,
THAT Iii I (H1::. Y ;,RE::. CLEAR r•ii`. _a'%'j..{^.•i-E�'I.Ii,'T'F::1'', �.±i::. SEWER ('±{.:t' 'j
P•*3+;•j+:''P:P ii•*a:• CALL FOR F{: 1:N F'F.::1..: f-1:(::! 4 PRIOR T(:i COVER ',i*i(P.'j1•'P:A:3+:,i'P:
•n:•jt-P)?•P'3,;3i p f 24 HOUR (Jt 1T:ECE:: REQUIRED )l'P-P•1t•P•3{P'P-P'P'
Rk PAt3 N1C 456-3604 APP ?AP4 k iP
*****************.k************** THANE' Y`0 u :n•*3t q.)F N...J?')I-:.)i.*3j..}i.P•ji••!{-ti.P•1?')!'**P•)!'P'*3i•:u.')R'3)-P:
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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Other__
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—"*"--*****—**** "'”•Ii"THISSPACE FOR COMMERCIAL PLANS TRACKING;CERTIFICATE OF OCCUPANCTONLY""***"********"***********"—
: • • • • .• • . ,
, „ •
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: --------