1991, 01-24 Permit: 90006264 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 permiVapplication 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, pr as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PRCIJIEC1 NUMBER= 90066264 DATE= 01/24/91 PAGE= 01
ISSUED PERMIT
#3FtF3E3E3E3E##1riFiriE****iFii•1t••H•******* PERMIT INFORMATION **3 **i&*3i**%)E*lf*****. *****n*
SITE STREET= 12003 E: STH AVE PARC E.'L0= 21541--'802
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- 8801
**x' SEE NOTE *3E*
PLAT*= 0013132 PLAT NAME= KIMBERLY SUB
BLOCK= 1 LOT== 2 ZONE= -A(.7 UR DI,S'1':= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
w OF BLDGS= 1 0 DWELLINGS= 1
OWNER=:: TWEEDY PHONE=
STREET== 12003 E 5TH AVE
ADDRESS=. SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE. PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= N4 LEFT= NA RIGHT= NA REAR= NA
tF****..tt.tt•aE•tt..u•.x**aE•tttE••rc*******aEaa** SEWER PERMIT *3iieti•*3iuEit1103•tt•#aEiE#ft•tt3EiE3e.>t..ttu•>i•.tt..ttiruu
CONTRACTOR= COURCI-LAINE CONSTRUCTION
STREET= 16402 E VAL..L..f::YWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION, 'QUANTITY FE::E:: AMOUNT
PHONE= 509 924 5485
PROCESSING FEE Y
SEWER CONNECTION
----------
10.00
40.00
•x*•** *******u**)e%%u**iexEEaE****** PAYMENT SLJHMARY aE*w*tE***;Eac+ettu*;e'*x•xttxn;al*>r***
PAYMENT DATE RECEIPT;: PAYMENT AMOUNT
01/24/91 91 332 50.00
TOTAL DUE= .00 TOTAL PAID= 50 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER 1•-'FRMI:T 50.00 50.00 ,00
r
50,00 50.00 .570
PROCESSED BY,: ,JULIE. ,SHATTO
PRINTED 13Y: JUI...1:E SHATTO
SEWER STUB AS --BUILT INFORMATION IS AVAII...ABL.E AT THE COUNTY
UTILITIES DEPARTMENT (456.._3604)
CONTRACTOR OR APPLICANT IE TO FIELD LOCATE AND CONFIRM. THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO MANY OTHER
EXCAVATION
TO LOCATE?. BURIED CABLES, GAS PIPING, 'WATER LI•NES>, .ECT.
TALL BEFORE YOU DIG (456-8000.
SEWER STUBS ARE TO BE:: CHECKED PRIOR _TO CONNECTION I0 INSURE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE ,SEWER MAIN
3E3Ftf#3E#*** CALL FOR INSPECTION PRIOR TO COVER *.*.*..tt.*.3E*hn
********t24 HOUR NOTICE REQUIRED >c3Erete3e3F*3F3Ete
aF3FUFtF**i*3Fx 456--3604 3F3FtF#tE3FiF***
)F3&**3eti-x-3e* )e*3e3e3E3e3e3e*3F*te%#*****%** THANK YOU 3F+FietF#3F##te##tF 3F#/iii•#3F##3e H•h3F#3r3itF 3E 3E tf tFF3i
•
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use
flatc4
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)ept. of Bldgs.
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Engineer's
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Planning
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Utilities
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Other
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Condition:
Special Insp. Final Report
Hydrant ( )
Lock Bdx
RID/CRP
4 I
Easements
Road Plans/Improvements
Bonds
. • .
•• 31 '4 Ay-
1,,
Isr Q
Bonds
;V
Bonds "
nit:
(in)
l‘r
• Appr:
(out)
Double Plumbing
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4-4'" '1, tt-•
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****(THIS SPACE FOR'COMMERCIAL PLANS TRACKING, CERTIFICATtOF OCCUPANCYONLY,
•
Date receivethar d/r5Fro641sing; -, ' ll ' f ' . - isiansipuilid ler linit pidpeisingl, " i ".1 J.. ..7.
I
„Temporary C/O issued. ; , ,, • . 4 , 't, : , . . , , 4 ., :' : , ( , • .• , Certificatac4 Ocduppcy issued:•:.
e' '
Office file review by: ' ' ix. ". ' • Dat
R ' ••4•3'' '. A .1, -I': ,4 ' 3 ' s '11' •k•Ii •J•
Filed insp fin/4sled by: Date.
4.0 A ,,, 'ay:, • 4. .,-'4-$..z.$ ' 4. 14- h rg•-. 4(H•4 :•t. 1 ,,:• :4 -2.•“irli: r.) 1/ 44e41-1 r •?..****-4“$e /0('R a: ',Fit 4 ',. le ':*-44." t il• x :14 '
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.