1990, 09-27 Permit: 90004235 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99200
(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 authorizea County / In addition, I have read and understandm 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= 90004235 DATE= 09/27/9O PAGE= 01
I%EUED PERMIT
**************************** PERMIT INFORMATION ****************************
%ITE STREET= 129i4 E %EMRO RD PARCEL4= 27542-1806
ADDRE%%= %POKANE WA 99216
PERMIT USE= %EWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 00i846 PLAT NAME= OPPORTUNITY TERRACE 4TH ADD
BLOCK= 5 LOT= 6 ZONE= TER DIJT4=
AREA= 00000080 F/A= F WIDTH= 90 DEPTH= 136 R/W= 50
4 OF BLDG%= i 6 DWELLINGS=
OWNER= BILLINGE PHONE=
STREET= 12914 E %EMRO RD
ADDRE:':%= %POKANE WA 99216
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= H & % CONSTRUCTION PHONE= 509 926 8964
%TREET= 11817 E VALLEYWAY AVE
ADDRE%%= %POKANE WA 99206
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%% iO.00
SEWER CONNECTION i 40 .00
******************************* PAYMENT % � ��` - : . •: • � ` �
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/27/9O 5908 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .O0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .00
------------- ------------ -------------
5O.0O 50.00 . 00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE JHATTO
SEWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
: O LOCATE CABLESGAS PIPING, WATER LINES, ECT
� ' ' ^
CALL BEFORE YOU DIG (456-8000)
%EWER %TUB% 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: / . Condition: !nit: r
' xpp
/ | (in) (out)
> |
--- - -- - {
Dept.nfeldgs | | | !
—
Gp:oia| |oop Final Report
Hydrant( )
| /
Lock Box ! _
| |
------ --- ---- --' --| -------' -- - !
| ' �
---- ----- | � --' ------ -- -- '
{ |
! ' •
---------- ! -| --� `
Engineer's__ _i _ �__ RID/CRP
Easements
Road Plans/Improvements •
' | , •
Bonds
-- -- -- --| - � �~-� -- -- � -
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- ------ i -- ' / /
Planning ! ' BonUx
--i --'
-- -- --'| � --| -- --
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----- -- / - ! --
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Utilities� _! __ ' __/ Double Plumbing
ULID
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Other,__'
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_______ / -- | --
,
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`~^~~~^~~`~`^^~~~~~~~^~^``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 Occuaissued:
Office file review by: _________ ^ .mote:_-
Filed in*pfinw*dby:__________ .Date.
___________
Ninety
Ni6etydaysefte C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by. __—
No response from owner/contractor plans destroyed:
�