1991, 01-24 Permit: 90005903 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
PROJECT NUMBER= 90005903
; ? 1r' ra j� " .. 01 /24/91 # �PAGE= _ .
. PERMIT
ESWFD
JpVi *P9 k r Vigj } R 9 ! Y 99.?.•:.i?.-9 ) p ?7 y PERMIT
• F i v ; T lJ ) ft r t) ? dfa *.»:.,,, R9 : } !_1jj .11
;
SITE 12009 F'r r:,,..,...€ . 21541 -1029
ADDRESS= SPOKANE trW f•`•; 99216
PERMIT USE= SEWER CONNECTION — 8801
:....3 ; " ***
PLATO= 001852
. , 35. P : T NAME= ?=€ ;
tI . , j . 1 r1 .
BLOCK= # i } #... : I ZONE= - y , t. \ # N. •F
..
AREA= ?:tt1?:J l'1?.:ttl'::t':I f:i-:: •• . WIDTH= DEPTH=
0 OF Tt 'E 0 W4LLLING =
OWNER=• €:::`t itJi.LLVIRGINIA PHONE=
STREET= 12009 E::. 3RD AVE
ADDRESS= # OthF . WA 99216
CONTACT
O N T w C:: df '# : DONNA
4 iR? "t #.
RIGHT=
PHONE NUMBER=
509 924 5485
BUILDING SETBACKS :- _Rj : ' . NA LEFT= NA NA REAR= N`
**************************x** SEWERPERMIT :�:::;..j}*:i:**:n:;'t*.jf..K*.ji`;,.:r•:Vii':ni•ai ti::ni•ri;t•*hi:A'.hi:�i: r:
CONTRACTOR= rJ ?_ a, ; . :E CONSTRUCTION '
H
OP :: ^ jj924 5485
STREET= # 6442
#... }!r'i...i...::.Y .,A T
ADDRESS=
w w w, - 99037
ITEM DESCRIPTION QUANTITY P•FF AMOUNT
}: 'IMO
PROCESSING FEE t.
SEWER CONNECTION
•
Ax R P . e ?R ri . . ; 4t a ?P. i6 PAP. *$ J3PAYMENT U MAR` .3..t1.* * * **** *ir) . . i RR
PAYMENT D t"E t E RECEIPTO PAYMENT A• t ti.. . i.
01 /24/91 337 50,00
TOTAL, f•i?... .)U?;;,.... ,00 TOTAL# t..YE... E"i••Y.i.,_}...
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT t.itaj..i"ai_,
SEWER PERMIT 50,00 50.,0 . .._.._._0
50:.00 50.00 _00
PROCESSED 1;t Y : JULIE 7i,l,. , i..t 1 i t t_'•
PRINTED i:{'f : JULIE€L...I E:. 5 E'I Ai # E C:I
SEWER STUB A,:.....Bt.;:#.L # INFORMATION IS AVAILABLE THE
UTILITIES DEPARTMENT j
56-3604)
CONTRACTOR OR APPLICANT IS € O FIELD LOCATE AND CONFIRM THE
E..E._I...1+f:t t'.##:oN AND POSITION i SEWER `;'I-t. B PRIOR # (: ANY OTHER
R
i*:.'.X i.:i"i V ra T:?.0 N
T,.. LOCATE BURIED i D CAa:{€._E S GAS PIPING , WATER LINES, ("t..: €
CALL BEFORE YOU DIG l`]5(-.)-900)
SEWER ;" i ; AREi TO BE CHECKED . € 1O TO CONNETION TO INSURE
THAT
iATHEY
E # Y CLEAR ANEUNOBSTRUCTED E THEE SEWER
113 } 4
********* ,CALL FOR INSPECTION PRIOR TiCOVER jiijjaNi4
*
**i5 tilt h ie•)d:iii K ;i HOUR N f.i't I•?".1::: ?�•'.1::.',€ .(,;E j *********:k
**y:****** - 456-3604 n*3ri*u ih #i £
.. '.a':'.a'.: t::t'.:'.3:*:;.:,r:y.:,;.:i.*3t ;.a;.:'.:r )t•3 9*1!-*** THANK 't O U j.:•jt•'JE 1?•1t 4t.j;..ji-.jii{»: 'Pi...j'.*3(.31 j;.j;'i!?•iii i 'j Pi'j$lei.j;..j3,..ji.
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date:Condition: |nit: App,:
(in) (out)
{ ' |
Dept.of Bldgs
Gpeoia| |nop Final Report
Hydrant( )
Lock Box
--�
Engineer's | --� RID/CRP -- '
Easements
_
Road Plans/Improvements
Bonds
i .
planning __ -- 8onda
' --/
' --}
Utilities __ Double Plumbing
ULID '.
_-'
Other _
-- .
-- '
``~`^`~^~~~~~^~~^~~~~*nH|8SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OpOCCUPANCY ONLY^`~~~~^~^~`~^~~`~`^''`~`^
Plansmdhm�n�mgpn�oo�ng�
Du�mno�*uhxC/0pmueopng� �
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . uam:
Filed insp finaled by: . Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _. ome:
Plans returned: Received by: