1990, 11-20 Permit: 90006312 SewerSPOKANE COUNTY.'BEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that l have examined this permit/application, state that the information contained In stand submitted by me or my agent to compile said permit/application is true
and correct, end authorize Spokane County to proceed with processing. In addition, I have read end 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. l 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 ca el the provision of any s or loyal I regulating construction, ores a warranty of conformance with the provisions of any state or local
laws regulating constructlo
SIGNATURE OF
OWNER OR AGENT
PROJECT NL1rIBER' 90006312
APPLICATION I 1 l /1 _ Cl`ll fo
DATE _
DAMP
'i:.S.SIJE:D Psi Ei
*******1011 -*********I('***'***** PERMIT INFORMATION**.if3EiEik'Y'if3fitiFtfiEiF{fif1FH'?k#ifit3fiti:3'it{e
SITE: STREET' 12609 E 7T"1 AVP
ADDRESS= SPOKANE NA 992 6
PERMIT U,Slii::::: SEWER CONNECTION CB t
if** SEE NOTE.-IfaaiP
PLATO= 000975 PLAT NAME:::: G. F E';E. FDE P ,.
BLOCK(::- 1 20r' ZONE- Ar 11;1 DI
AREA= 00011000 9/A= F WIDTH= DEPTH=
OI- r4t.DGS- 4 DWEl LINVS=
0 PAGE=: 01
9`.I5
ROCKIT OM, DAVID l• "'HONE= 509 926 6578
15717 E 161-H AVE
VERADAI.J:_ WA 99037
DAVID 6C1r'1i(S"i'E{fi Fi 1=q'iONL, NUME+7-'E{_:: 909 926 6578
S: FRONT NA _FAT= Nit RIGH
CONTRACT -
ITEM E
F'ROC
SEND:
P.
*****************************-
PAYMENT
**if******* **********..**.**U.N.......PAYMENT DATE
11!2,)/90
TOT JIi=
StIWER
QUANTITY
1
1°'AYMEN SUM
REOE.IPTO
PHONi
.00 TOTAL PAID:
EE AMOUNT
---- —
50200
50.00
F'ROCESSE. 8 : JULIE all TIO
PRI TED BY: JULIE SFIAf11
AMOUNT PAID
AY MEIN
=****tf***
fi******ii*****iiu —
50 00
50.00
AMOI_iiJT OWING
_00
;,?
SEWER STUB AS -BUILT NFOF<MAT1:ON TS AVAILABLE:: AT i -i F r;iliiN TY
UTILITIES DEE'ARTMENT 1456--36042
CONTRACTOR OR APPLICANT IS L FiE:..4 ....i �..., ..,,+
El—, Y r P.. ;. — )-OR I...
E:Xf':A'VAi CN
TO LOCATE BUR
CALL.. BEFORE Y
C:f-1III.E:S, GAS PIPING, WATER LINES, ECT
D:{C= (456-80000
!SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MA
******air* CALL.' FOR 1H' 1 TION 1R]OR TO CkCi' ififaf**::
******ii*ii 2i HOLx' NOTICE ICi:Q'JII FII *3F lE*{f*
*if** 456-3604 if*,fif***
*iiitif***ii'ii'ii********************** THANK YOE *****if*if**
N
**
Project
Address'
Dept:
Dept. of Bldgs.
Date:
Engineer's
Planning
4
Utilities
Other
*`T` to 4*
� a
SPECIAL. CONDITION•CHECKLIST
1
/4 {vJr e,; '. A
Project #Use•
m
Condition:
Special Insp. Final'Report
Hydrant ( )
Lock Box
Init:
(in)
Appr:
(out)
RID/CRP
Easements -
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID •
St
. ti r n.r- r t "
•^•^•^^^'•'•"^'".''• THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
Date received for 0/0 processing: n + Plans pulled for final processing
Temporary 0/0 issueg 9 Certificate of Occupancy Issued'
Office file review by Date
Filed Insp finalea by bate
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans- Date.
Plans returned: Received by-
No
yNo response from owner/contractor - plans destroyed'