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1990, 09-27 Permit: 90004232 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 with processing. In addition, I have read and understand the INSPECTION REOUIREMENTS/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 construc(ian, or es a wprranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION - OWNER OR AG,FNT DATE PROJECT ,NUMBER= 90004232 DATE= .09/27/90 PAGE= 01 ISSUED PERMIT ****•*******3e*3&3E***)F**%*ii3**3e* PERMIT INFORMATION *******y.******************** SITE STREET= 12520 E 4TH AVE PARCEL= 22542-5419 ADDRESS= SPOKANE WA 99216 PERMIT USE= ,SEWER CONNECTION - 8801 **•* .SEE NOTE *'>t* PLAT0= 001840 PLAT NAME= OPP.TR, 1-354 BLOCK= LOT== ZONE= AGSUB D'IST>= E' AREA 00000000 F/A= F WIDTH= DEPTH= R/W== OF BLDGS= 1 .x DWELLINGS= 1 OWNER= REYNGN, JOHN. PHONE= STREET= 12520 E 4TH AVE, ADDRESS= SPOKANE WA 99216 CONTACT NAME= LEONARD -- H & S PHONE;: NUMBER= 509 926 P964 BUILDING SETBACKS: FRONT=' NA' LEFT= NA ' RIGHT- NA ' REAR= NA *****.x****j'*********.*><.3<..tt•3c**3E*. SEWER PERMIT ae3J'u'u•*3<•'u'3e3e3c3e3i•3t3<'3cu*3<'3<'3L'3c3c****'3i•tt'* CONTRACTOR== H & S CONSTRUCTION NONE= 509 926 '8964 STREET== 11817 E VAI...i_.EYWAY AVE: ADDRESS= SPOKANE WA 99206 ITEM DESCRIIPTION QUANTITY FEE AMOUNT PROCESSING FEE 5" 1,0',00 SEWER CONNECTION 1 40.00 **'******3c*)g*3E**********ii'*3i•rc**M PA'fMENT SUMMARY***•*tt3(*'k#*i{•.**•3t#***********3h# PAYMENT DATE RECE-IPT0 PAYMENT' AMOUNT. 09/27/90 5913 50.00 TOTAL DUE= ,00 TOTAL PAID= 50.00 PERMIT, TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50.00 50.00 .00 50.00 50,00 .00 PROCESSED T{Y: JULIE ,MATTO PRINTED BY: JULIE SHATTO SEWER STUB ASrBUILT 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 STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BIJF<IED CAA'}:&ES, GAS PIPING, WATER LINES, ECT. CALL BEFORE YOU DIG 4456--8000) SEWER STUBS ARE TO DE c't; CKED PRIOR TO CONNECTION TO INSURE THAT THEY ARE CLEAR AND UNOBSTRUCTED TO TETE SEWER MAIN ' ***'****** CALL_ FOR INSPECTION PRIOR TO COVE[; *******.x•*.*. ******•*•*•* 24 HOUR NOTICE REQUIRED ****•****** ******'n'** 456--3604 ********** ******************'*******'**3r*3i•** THANK YOH******************3E*'************* 'tr • t , ▪ }r SPECIAL CONDITION CHECI(L'IST Project Address: Project # Use. • ter,. '-'•-•,. Dept. of Bldgs. r: ,f•,• it 1 4It ' ., :r :u, a a 51"4atit • :1-55..; ngineer's tQ 3,1i _. Planning Ll"k. ..:"Y_ •r.e ri -in r ,.n,K .Y %N ;ie, .1i;t41r , .5."1(' ,. ., ; )' )r 't Y ♦ r]' : V Yr . Utilities go f f Ir '11.11 )Mtrl '' 4'1 - Other 06,6? f:'r .itt 1 pr "i%,N Condition: Special Insp. Final Report Hydrant( ) Lock Box { :w' ,'ti 'P' )f a ,e F it'E ::t ,c i T k •'t A RID/CRP :-11,i#45 `, r._, Easements Road Plans/Improvements''"''' t"''' t y. - (`•1 '' t9 i' ;F.,a I I .7b1 Bonds ' i' r27, d' r' ... ^ D "K', `1 r e , n ,. ...n -t', t Init: Appr: (in) I (out) 4 Bonds -4A. , ,7. 7..' ateo 1 .4 ite,C — 'r i:. ; T: y 1 L'd i 'd r : -i { 1 :11 ;i:;. "9E a(•`Kwaf 4' t �i`i'•i (`i T14."l,i,: Double Pluf ibinf Y'' ULID • ti14 ?Ta'r% ▪ f lw it • ; jAji : 4}L :ri t { ', •1N' 4 •i''t • '1},-112 .' l q (Y • trt 3,(n titr"ti'" I•''"{ -t, hGT .v 1UT •C'rfir A'" `v. ,,T'iff i iii}(}Miff '17''I 1 Yr - 30. (1r. ill dr a 4 Al. a..•., Alt ..{-.t'1! I-Itn: 'r%'1 '-.i Il, C14 (A.",ji"t:., r+) �f,T;1. 11Q' .-,:.11 i. 4!TI! hi 2, is T (4c1 T "''if' •^*•••••••****••**••*'***.*T:ITHIS SP(sCE Fo9cONIMERCIAL'PL,ANS TRe(CINt3,CEriTjf,tpmep F.QC.CUBAN(3Y;QN LY; Date receivedfon Qmprocessing "Plans pulled fdr'final processing." a 1 - -vY !'1 IY ( a ;IT I ,. i <° t^ X AiI1 TemporaryC/O issued' �'•' Q�h(�i at¢ ccul5�p1J{cy I§su�t� %a :R Yt'!t RY^ F'.S i.} ill IN... %.,; � .`I rl)i i Office file review by 4--_,},x<:=4 T 'rf Date''�'�t .;1 :I: fztf`I >s' m" `^Pat` rt Filed insp finaled by:'''' Date: II: ,, yt,JYr'115 T 5 e 11" (4.3-1.24:-A VA 4„ 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'