1990, 12-31 Permit: 90006246 Sewer SPOKANE COUNTY DEP/ 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 roceed with processingIn additionI have reaand 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 specif ied
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 0nAGENT DATE
PROJECT NUMBER= 90O06246 DATE= 12/3i /9O PAGE= Oi
ISSUED PERMIT
**** *********************** PERMIT INEORMATION ****************************
SITE STREET= 9511 E 4TH AVE PARCEL4= 28542-0728
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - DI%HMAN-MICA INTERCEPTOR PKG T.A
*** SEE NOTE ***
PAT:t= 0'7-1534 PLAT NAME-, OPPTP -774
BLOCK= 241 LOT= ZONE= UR-22 DIJT4=
AREA= 00000000 F/A= A WIDTH= DEPTH= R/W=
:II, OF BLDG%= i .11. DWELLINGS'= i
OWNER= GEKE DICK PHONE=
STREET= 9511 E 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= STAN - ENVIROGUARD PHONE NUMBER= 509 993 2814
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= ENVIROGUARD INC PHONE= 509 924 5595
STREET= PO BOX 141557
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y iO.00
SEWER CONNECTION 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
i2/31 /9O 8298 50.00
TOTAL E=E= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 5O.00 50.00 .00
------------- ------------ -------------
58.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %T;B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES . GAS PIPING , WATER LINES, ECT,
CALL BEFORE YOU DIG (45�-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: _.__ Project # _._Use:_
Dept: Date: PP {g Condition: Init:
I 3 (in)
Dept. of Bldgs.
Engineer's
Special Insp. Final Report_
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
PlanningBonds
Utilities.. ___ __ �s� .__! Double Plumbing
ULID
Other
Appr:
(out)
THIS SPACE FOP* THIS SPACE FOFt COMMER.CIALPLANS TFIACKING.CE111FICATB,OFOCCUPAN.GYt NLW"_'*"'******
Date received for C/O processing 'Ptans.pufled.for final: processmg:
Temporary C/O issued:. e'c}# O0cupattcy issued:- —
Office file review
Filed insp finaled by' Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned' Received by:
No response from owner/contractor - plans destroyed'
Date: