1990, 12-12 Permit: 90006276 Sewer SPOKANE COUrTY 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 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.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 th s 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
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BALDWIN
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'ARTMENT (45673604 :
APPLICANT IE TO FIELD LOCATE AND CF;NFIRM THE
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SPECIAL CONDITION CHECKLIST
Project
Address: _-- --__---- ---- - Project#----__--- Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box
Engineer's_ _ RID/CRP _ _ -
- Easements_
— --- Road Plans/Improvements
Bonds
Planning _ — Bonds
Utilities ___ _—_— _ Double Plumbing___—_.
— — ULID -- — — —
Other.__
""""'THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY""'"""* —****"""'
Date received for C/O processing: _ —. _____ Plans pulled for final processing:
Temporary C/O issued: ___-_ — Certificate of Occupancy issued:
Office file review by: _ . Date:
Filed insp finaled by: _ Date:
Ninety days after C/0 issuance:
Owner/contractor called regarding the return of plans: _ — Date:__ ______
Plans returned: _ -____---_---- --_--_-- Received by: _ ___ _________
No response from owner/contractor-plans destroyed: __ _ _____.___ _._____—_____ _________
I .
41:::1-1 Plki- ? VI
S P O K N E i: i ,, '.i97TI�- 1F `. C O U N T Y
DEPARTMENT OF BUIL IINC AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
J AMES L. MANSON, D •ECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: November 20, 1990
TO: Simpson Sanit.tion
East 7812 Bal•win Avenue
Spokane, Wash'ngton 99212
Please make checks payable and mail to:
SPOKANE IOUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connect on Permit Application
DATE :'ROPERTY ADDRESS FEE
11/20/90 E 12816 11th Ave - 90006276 $ 50.00
• ount due and payable $ 50.00
Pursuant to your r:quest for the above sewer connection permits, we
are issuing an aut orization to proceed with construction, however
payment must be re. eived prior to November 30, 1990. Failure to
remit this amount •n or before this date will result in a double fee
being assessed.
Thank you for your prompt attention.
WEST 1303 B'OADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703