1990, 12-05 Permit: 90005182 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
fi
DATE=
PAF,7= 01
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PERMIT :: SEWER CONNECTION F :.1 "'
T *** SEE FE.:. N!-itE If::'37
PLAT4= 00-1'952 PLAT NAME= •;^t i i
BLOCK=- 179 LOT- ZONE- AOSUB DIET4=
ADDRESS- SPOKANtr. WA .
roNTACT NAME= LEONARD — H
PHONE NUM'BER- 509 926 :7964
BUFLDING SETBACKS : FRONT- NA LEFT= NA RITHT- NA REAR- NA
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CONTRACTOR= f:, CONSTRUCTION PHONE= ... .. -..
STREET= 11917 E VALLEYWAY AVE
ADDRESS= EP0v -',1:7 WA 99206
ITEM DESCRIPTION — c1UANTITY FEE AMOUNT
PROCEEEING FEE 10 , 00
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.... ******* *********K7 ..**
OWING
PERMIT: TYPE :.1::, AMOUNT AMOUNT 1 {}.3.._. AMOUNT
SEWER PERMIT 50,00
i„} 04.E 0 :'i " ..
PROCESSED Jam: F ..fi..J l....l.}... ..i••J I••i f t
JULIL
SEWER Si4 AS—BUILT INFORMATION IE AVAILABLE . rCOUNTY
UTILITIES DEPARTMENT s } ii )
. : r • a: tFOR APPLICANT I
" ^1ltN .i.S TO FIELD LOCATE AND
CONFIRM
R
H"
ELEVATION f '1 " fi . l } ivOF SEWER ET:B PRIOR TO ANY OTHER
i..y:,C'A%JAfi .fid
TO LOgATE BURIED l Efi 1 }.. .:trf•1S •tix:t f - ..
CALLB'EFORE YOU
r
- THAT
i r t1t i �. Il�_. ;fiJ•
:•I - 1 ARE CLEAR AND' UNOHs1NUCIED } SEWER' MAIN'
},. ! •f* t':tf* f i.:;=-'±;...?.. FORJ,NSPECTION PRIOR—TO CO . . 'rr*u}, p.*x*} it•
24 HOUR NOTICE t, :'J
- - .
THANK
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SPECIAL CONDITION CHECKLIST
Project
Address:
Project# Use:
Dept: Date: Condition:' ! � � mit: Appr:
(in) (out)
Dept.of Bldgs
--' 8pnoia| |nap Final Report
Hydrant( )
� --
Lock Box
EnVinao/n . --/ 8|D/CRP
Easements '
Road Plans/Improvements
Bonds
Planning ' Bonds
-_'
_-'
' --
Utilities __. Double Plumbing
--
ULID
Otho
' --
``~~`~`^^`^`~^`~°'^^`~~^~~~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:� necoivoduv:
No response from -plans destroyed: