1991, 03-31 Permit: 90006230 SewerSPOKANECOUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456.3675
I certify that I have examined this permit/appllcation,statethatthe information contained in Itandsubmltted by me or my agent tocompilesaid permit/application 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. Aq provisions of laws and ordinances governing this type of work will he complied with whether specified
herein or not. l understand that the Issuanceol thispermit/epplicatlonand any subsequent inspection approvals or Certihcatesol Occupancy shall not be construed to
glveauthority to violate or cancel the provisionsolanystate or local law regulating con`structlon.br as a warranty of conformance with the provisions Many state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
a
PROJECT NUMBER= 90006230 ISSUED PERMIT DATE= 03/13/91 PAGE= 01
**********t***************** PERMIT IN'rORMATION u**it3E*********n************4M
SITE STREET= 12403 E STH AVE PARCEL -0= 22542-2050
'ADDRESS=- SPOKANE WA 99216
PIE:RMIT USE= SEWER CONNECTION - 8801
*K* SEE -NOTE K**
PLAT:= 001931 PLAT NAME= PARADISE ACRES ADD
BLOCK= 6 LOT== ZONE= AGSUB DI$Ti=. F
AREA= 00000000 F/A= A WIDTH= TEP'TH1 'RAW=
s OF IILDGS= 1 DWELLINGS= 1 WATER DIST =
OWNER= NELSON
STREET= 72403 E OTH AVE
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT. NAME= LEWIS - TOM STONE PHONE NUMBER= 509 9'
BUIiLDZNG SETBACKS: FRONT== NA LEFT= NA RIGHT= NA REAR= NA
***K*KK*******4**K********KKM SEWER PERMIT
CONTRACTOR= TOM STONE EXCAVATING
STREET= 1112 N MAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00.
***K*KK**K*K*KK**3* KK*4***KKK** PAYMENT SUMMARY **KKK*303E******************4*
************KK*K*KKK**4
PHONE= 09 -928 7710
7710
PAYMENT DATE RECEIPT:
,03/13/91 7234
TOTAL DUE= .00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 -00
50.00 50.00 .00
PAYMENT AMOUNT
50.00
50.00
K*****KK*****K*3E*K*K*****K*K*K*KKKKKK##KK#K#K##KKKKKK**K**KKK*******K****K*K
* PROJECT NOTE: TOPIC = GENERAL DEPT == BUILDING *
* **KKK ***KK*K3E *K K 4W**K**** *3* 3E **K K 3E K * K * 7F* K * * * iE K KKK** K K***K** K *K* KK** *KKK #* #*3F
SITE ALSO INCLUDES EAST 42405 8TH AVENUE
PROCESSED BY: JULIE .SHATTO
PRINTED BY: JULIE SHATTO
SEWER STLIB "AS --BUILT 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 BURIED CABLES', GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE: TO BE. CHECKED -PRIOR TO CONNECTION TC) IN RE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
KK******* CALL. FOR INSPECTION PRIOR TO COVER ********K*
**** *KMKK 24 HOUR NOTI'Ci REQUIRED KKKKKKKKK*
********K 456--3604 KKKKKKKKK*
K**IEK*K4E*****K**K****K*KKK****** THANK YOU *********
4
*
Project
Address
Dept:
4 Y a
SPECIAL CONDITION CHECKLIST
Date:
Dept. of Bldgs.
Z
Engineer's
Plapnin9
OP
Condition:
Project #
Use -
(in)
Appr:
(out)
Special Insp. Final Report
Hydrant ( )
Lock Box
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AW °141A ti Ci'
RID/CRP 101.8$ . r,G41;„l.iri.( W.11432. -7I. '1‘.>i:
Easements - v.ux.
Road Plans/Improvements `
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THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
-APT MCl/ 11t0 1 (104 t t AC,f l (i i et 1 01` k r TAC)T.,I'4 to 51C1 49(.1 J 5.1100
rbyrtf U {HFI V1 .I1.Jit11 ?Jill W-.,%. I6 410[_5.201 „01 DC Titti73
Date received for C/O processing' Plans pulled for final processiht0 , t AVA Ax R
Temporary 0/0 issued' 1 - Ge dicete.pt'1 .%r-1Opup
1pancy Isau9
f .' 1 L I i N
Office file review by: ` Datb{'ni4,"-Cpl ;1'P HOY •114:1.11' I.14A
Filed insp finale() tor
1
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exrsh r4'-41:;7 (TI A(ITn-r 111'. T alP St in i 51:13 -1,14(:1 44}11X,1401* if 4
Ninety days after C/61gg#a.P kex rkxlv+� a A2U r; :;)'4 TOM 11(11.1 At MJMtf010ufi
Owner/contracftif etAltk'Fhertlirig the return of West PEl AAE- AP: Datde x444 a MAX
4t*Ir4 rlslatw!lekRecre&VCdtbY ., , .,i. ,Y:'a'Y Y. u. ,v
No responsedrom owner/contractor .,plans destroyed'