1990, 11-16 Permit: 90006223 SewerSPOKANE 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 wit 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 stator local law regulating cohsiruction, oras a warfanty gf conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF DATE
OWNER OR AGENT -
APPLICATION
PROJECT NUMBER= 90006223
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PERMIT INFORMATION
SITE ,STREET== 12022 E 4TH AVE
ADDRESS= SPOAKNEE WA 99206
PERMIT USE= SEWER CONNECTION 0001
*3e1e ,SEE' NOTE 3i3e3e
PL.A 1 *= 001039 PLAT NAME= OFT. TR. 1 --354
BLOCK= EOM,' :ZONE-- AC.:SUB
ARE(-A=F/A= F WIDTH= 160
OF BLDG'S= i x DWEL_L_INGS 1
DATE= 11/16/90 PAGE`: 01
ISSUED PERMIT
34)43e*#363e3e3e3e.) 3e*3i343e##3e 3e3i3e##3e#3e3(•
PARCEL'= 21541-1300
OWNER=: WARDIAN, PAUL
:T,<.-EEY-. 7 41H AVE-
POAKNE. WA 99206
CONTACT NAME== TERRY COURCHAINE
BUILDING SETBACKS: FRONT= NA LEFT= NA
D I -.S T:»:::
DEPTH= 300 R%W=
PHONE= 509 926 0X50
PHONE NUMBER== 5 '
RIGHT= NA REAR= i`'
313(..x.3(.3131.3e3(..x.3i.3(..x3:3(x•x3(3e3t3i****tt3(3(3cx• SEWER PERMIT k3F3(iF3(ri3(•313(3E3f.)<..H.3F3(3E3F3(3(itarri#i(3(3e#363i3v
CONTRACTOR- TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E i l.TH AVE
ADDRESS:::: ,SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION 'i 40.'00
**j“6**************,*********** 3f* PAYMENT SUMMARY )i*.*.3***ri****•*3E3i*3e*3i)(*3c 3(• 363630313(.31. 3(.
PAYMENT DATE RECEIPT> PAYMENT AMOUNT
50.00
11 %j E>1,30 7342
TOTAL DUE= .00 TCITAI... PAID::: 50.00
PERMIT TYPE FEE AMOUNT
SEWER PERMIT 50.00
50.00
AMOUNT PAID AMOUNT OWING
50.00 .00
50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY LIE SHATTO
+SEWE:R STUB AS—BUILT INFORMATION :ES AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE. AND CONFIRM THF
EEi...I VAT.EON •AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BLURIED�CABL�ESGAS PIPING, WATER LINES, ECT;
CALL BEFORE 'YOU IG (456-8000)
SEWER STIHYS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
X3ehx•3e3 *** CALTSFOR INSPECTION PRIOR TO COVER ae**3c)tX)(.3(..)•3(.
3e313131***x3e 24 HOUR NOTICE REQUIRED 3e3e3131x***x3e
*313*3*4*313e1e31 456-3604 3e :d*31313(•3iri3e313(•
3i•3e3i*3f3F1e*3(3*-)ne* (•31*3(x-* 1f#*3e***9i#3*3(* THANK YOU **)e*****************************
• 441! 4,41•Qt
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SPECIAL CONDI•TION CHECKLIST
Project
Address: Project # Use:
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Dept. oil3fdgs.
A t . „ ., -
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Engineer's
44-4 4
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Planning
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7,
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Utilities
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Other
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Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
44 k k
RID/CRP
Easements
Road Plans/Improvementt
Bonds
Bonds
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Double Pliimbitt•
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Init:
(in)
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Appr:
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THIS,SPACE FOR CONFAMERCIAJPI_ANS TRACKING,C,ERTIF)CAZEOF,OCCUP,ANCYONLY ,
• 44: .
Date received.for,C/0 processing, . „plans puled for final:proces'sing.,
Temporary C/O issued. '' - --101.- ' Certificate Of OccUpanCy issued- • 1,
,1 -, 74
Office file review by. -Oat": • ,
, v J.
Filed insp finaled by:- -. , . , :it 44( 444 4 Date: F. k I" X
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.