1990, 10-31 Permit App: 90005800 SewerSPOKANEOUNTY Dt;PARTMENT OF BUILDIA
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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90005800 DATE= 10/31/90
f`(I:01
APPLICATION
******************************
APPLICATION
****************************4*
SITE:: STREET= 120 N WILLOW RD F'r:lRC.:E:.I...'m:_:: 17543-1522
ADDRESS= SPOKANE:: WA 99206
PERMIT USE= SEWER CONNECTION ••- A87••••1
*** S E F NOTE **
PLAT4= B:":: 00 835 PLAT NAME= OPP ., I P n 1-354
BLOCK= i 4 ;? LOT:::: .-ONE.: i...J"t/RO
AREA= O0000000 F -'A=:: F WIDTH=
4 OF• nI-.I,(.T,S::_ •I •H DWELLINGS=
::iWNE:R:::: FOE::C::I<S, A R & B i°1
STREET= 120 N WILLOW RD
ADDRESS= SPOKANE WA 99206 6
D I S'T:„:::=
DEPTH
R/W=
CONTACT NAME:-: DONNA COURC:HAINF.: PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT-. NA LEFT= NA RIGHT= NA REAR= Nal
.P:.A• .7+:.k..P: * }r. p:.:R 1k * •X• 14 •h• •iii •iii 'Yr * }p p:. * }(. }(..y.. k..1'i •A. }(..j(. E :. :. 't PERMIT .j(..p:• *.jt..jt :p:.jf..j,; .){..ji..14..jt. }t..jR..jR..R. }l 'A• * .jr .Yi 'Fi 'P: •iG •Pi 'bi }4..pr 'A• •lt•
CONTRACTOR= I:::I::ik.JRCHA:I:NE: CONSTRUCTION
STREET= 16402 E:: VAI._L..E::YWAY
ADDRESS== VI.Rr`iDr"il...1 WA 9903'
PHONE::- 509 924 5485
ITEM DESCRIPTION (::!L.JAN11:TY FEE:: AMO1JNT.
PROCESSING F'EE: Y 10.00
;EWER CONNECTION 1 40.00
PE:RM:i:..(. ..(.YF'E: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT )0.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: ,.JULIE: SFIA•TTO
PRINTED BY: JULIE EF•Jr"tT-(•(:l
SEWER STUB AS—BUILT INFORMATION IS AVATI...AEt{...E: AT THE COUNTY
111UTILITTEE DEPARTMENT N T (4'.}Ca••-,) .04)
CONTRACTOR OR APPLICANT IS 1.O FIELD LOCATE AND CONFIRM THE:
ELEVATION I:ON AND 1 (1 rTION OF SEWER STUB PRIOR TO ANY (:TITHER
EXCAVATION
TO LOCATE BUR:i:E:I) CABLES, GAS PIPING, WATER LINES, ECT,
CALL... BEFORE YOU DIG (456-80 00)
SEWER STUBS ARE ..TCO BE:: C:F•IEC::KE::I) PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TED T(.i 'TFHE. SEWER MAIN
*•x•***N:h•*•;,: (:::atL..L.. 1FF'CIF�: INSPECTION PRIOR TO1 COVER )t*>i.*i,:x) ' 'r:
}t•}t•ii•}i-:,;.}i•**# :? HOUR NOTICE REQUIRED }i•}?•,i••h:•ji••if••jFA••iE•jt
**}k•**}i••H••i{•*}R.**•**}t••b:•}i•***}t•**}f•}1•}t.}f•}r•*}t.*» 1 lrTr is*1*.n**I.isn::k*'x''n:: **trxIr*itt!'** ****jl_
.. THANK you
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OCCU({IAPJpmvr:x.
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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.
JOB ADDRESS:
SUBDIVISION:
• •
/�/ 1
/-75 l 3 / JD3 LOT:
I)p,
BLOCK: PA
-
OWNER: l--7-e-1� S / N St/ PHONE:
ADDRESS:
CONTRACTOR: �I `--CJ(-C/l PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: