1990, 11-15 Permit App: 90006186 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 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 onAGENT _ DATE
PROJECT NUMBER= 90006186 DATE= 11 /15/90 PAGE= Oi
APPLICATION
****** ' . - CATION *********************************
SITE STREET= 8iO S WALNUT RD PAR = 2O544-0764
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -8802
*** EEE NOTE ***
P AT4= 002704 PLAT NAME= UNIVER ITY PLACE
BLOCK= 7 LOT= i ZONE= AG%UB DI%T4=
AREA= 00007500 F/A= F WIDTH= 50 DEPTH= 150 R/W=
0 OF BLDGJ= DWELLING%= i •
. -
OWNER= GARCIA GIL PHONE=
STREET= 810 % (4ALNUT RD
ADDRE%%= %POKANE WA 99206
CONTACT NAME= CAROL - TOM %TONE PHONE NUMBER= 509 928 7710
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7710
%TREET=. iii2 N MAMER RD
ADDRE%%= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------- -------- -------- ----------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -----------
SEWER PERMIT ------ .00 ---5O.00
- -
50,00
.00 50,00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O4 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% AS PIPING, WATER LINES, ECT .
1 '
CALL BEFORE YOU DIG (45"
-8000) -
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%;RE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE ::. EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED
********* 456-36O4 **********
******************************** THANK YO; *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: __ Project# __Use:
Dept: Date:Dato: Condixnn: mu: Appr:
| i | (in) ! (out)
- | -� -- --- - � -
Dept.of Bldgs
Spoc»m |onp Final Report
Hydrant( )
Lock Box
--- -- --| - | --� -- - . ! -
{ ' '
Engineers ! ! R|D/CRP
— -- - -------' --- -- ! -- ---
Easements
RoauP�no8mpmvomon� •
Bonds
•
. |
Planning / { _-' Bonds
-- ' --} - -- ----
--{ - ----
� }
- --- ` ! -- - ----
Utilities_ __' � � Double Plumbing
ULID
� ( - ---
Other_
--- - / -- - ----
-- ---- --! - -� -
� ` (
---' - ) _ -- | -- - --
-- - -- � -- | -- -------- '
` • �� q� �'�� ` `^
``*THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE 0pOCCUPANCY ONLY``~^^^``~^~^~~```'~`````
Date received for C/O procesing: ___ Plans pulled for final processing:
Temporary C/O issued:_ Certificate of Occupancy issued:
Office file review by: ______ . mme:
Filed inapnna|eUby:_______ _— __- Dwte:__-__
- ------ ----------- -- -- --- -------- ----------Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:___ ___. Date: -_
Plans returned: ___ Received by:
No response,,npunoer,om owner/contractor plans destroyed:
JOB ADDRESS: F-/ C) CX/ / (-/ii ULITLi otie 4
SUBDIVISION: c� b 5 `7 14 ^0 '74, LOT: BLOCK: `1
OWNER: ( 3 I 1 �Q-1 ----(__CL PHONE:
ADDRESS:-'�'�
CONTRACTOR: 16 �-) -.---6)- PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: