1990, 12-18 Permit App: 90006849 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 OHOADWAY 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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EPOKANE WA 99206
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit: Appr:
(in) (out)
Dept.of Bldgs
-_ Sponial |nop Final Report
--`
Hydrant( )
_-�
Lock Box
Engineer's RID/CRP
-_�
Easements
_
Road Plans/Improvements
Bonds
Planning __' -_/ Bonds
( --'
Utilities Double Plumbing
ULID
. --
' --
Other
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_-'
--'
~~````````^~``^^~~`^^``^`~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY'```^^^```~``````^`````````^`
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 afteC/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
/ / 5e-L4 1.
JOB ADDRESS: Le / 4 0O•
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SUBDIVISION:
g-b �4a / - LOT: 3 BLOCK: J /
OWNER: 14 4,Ick. r L (v1 PHONE:
ADDRESS:
CONTRACTOR: t trr'i �� PHONE:
' ' Q3- 710
ADDRESS: / l 1 D- 1.\.1. ' '7I I
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LICENSE #: ) d 51-1_,- ( 4` k
INSPECTION DATE:
TYPE OF OCCUPANCY:
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S P C3 K A N E - I< t —i-c,:- lu>r C O U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: December 18, 1990
TO: TOM STONE EXCAVATING
North 1112 Mamer Road
Spokane, Washington 99216
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
DATE PROPERTY ADDRESS FEE
12/18/90 South 614 Woodruff/90-6849 $ 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 December 28, 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.
G/
sl
K.)
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WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703