1991, 03-13 Permit: 90006185 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90006185 ISSUED PERMIT DATE= 03/13/91 PAGE= O1
aaaaaaaaaaaaaaaaaaaaaaaaaaaa PERMIT INFORMATION * * ******'aaaaaaaaaaaaaaaaaa
SITE: STREET= 9920 E 8TH AVE PARCEL:= 20544--0765
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION --0002
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PLAT:= 002704 PLAT NAME= UNIVERSITY PLACE:
BLOCK= 7 1_0T= 2 ZONE= AGSUB DIST:= E:
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60
OF BLDGS= 1 4 DWELLINGS= 1 WATER DIST =
OWNER= GARCIA, GIL PHONE=
STREET= 9920 E STH AVE
ADDRESS= SPOKANE: WA 99206
CONTACT NAME= CAROL - TOM STONE PHONE NUMBER= 509 928 7710
BUILDING SETBACKS: FRONT= NA LEFT== NA RIGHT= NA REAR= NA
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CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7-110
STREET= 1112 N HAMER RD
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION QUANTITY FEE AMOUNT
---------------------------- ____--_._-- ____..._____
PROCESSING FETE: Y 10.00
SEWER CONNECTION 1 40.00
aaaaaaaraaaaaaaaaaaaaaaa aaaaaaa PAYMENT SUMMARY aaaaaaaaa *aaa*aaaa**aaaaaaaa
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
03/13/91 1232 `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 BY: JUL-IE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS BUILT INFORMATION IS AVAILABLE AT TFIF COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE: AND CONFIRM THE.
EL..EVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (454000)
SEWER STUBS ARE TO BE CHECKEi.D PRIOR TO CONNECTION TO INSURE
THAT
* CALCONSCTIONTf RIDOOVES**iA aMAIN
LFR IPEORTCOR�
***#aaaa 24 HOUR NOTICE REQUIRED ******aa
*a aaaaaa 456--3604 altaaaa as a a
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa THANK YOU aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
Project
Address:
neat Date:
SPECIAL CONDITION CHECKLIST
Project N
^'^'^•"""""""... —THIS SPACEFOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY"""""".....
Date received for C/O processing- c__ _. Plans pulled for final processing _.
Temporary C/O issued _._ Certificateof Occupancy issued
: .�._-
Office file review by = ---- —. Date.
Filed-Inep healed by. -- - -
Ninety days after C/O issuance'.
Owner/contractor called regarding the return of plans'.
Plans returned:
No response from owner/contractor - plans destroyed
Received by:
Date
(in)
(out)
Special Insp. Final Report _....
Hydrant ( )
Lock Boz
_
RID/CRP
Easements—
asements_—ReadPlans/Improvements
Read Planslimprovements
_
Bonds
Bonds
---
Double Plumbing —
ULID
^'^'^•"""""""... —THIS SPACEFOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY"""""".....
Date received for C/O processing- c__ _. Plans pulled for final processing _.
Temporary C/O issued _._ Certificateof Occupancy issued
: .�._-
Office file review by = ---- —. Date.
Filed-Inep healed by. -- - -
Ninety days after C/O issuance'.
Owner/contractor called regarding the return of plans'.
Plans returned:
No response from owner/contractor - plans destroyed
Received by:
Date