1990, 11-19 Permit App: 90006276 Sewer SPO ANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/applicat on,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 t proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply ith 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 oft is permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions f 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
PROJECT NUMBER= 90006276 DATE= 11 /19/90 ;- xr .
L:J•#
APPLICATION
............................................................ 4 -,F,, •- .. •TI #
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ADDRESS= ;t.:O!',A-:?E WA 99216
PERMIT USE= SEWER CONNECTION - 8001
**x ,:>E:.E NOTE * s.
...:;; .,,..... 0()2962PLAT NAME= a!O!..#..WAR ) PARK ADD
BLOCK= 7 LOT=
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4 OF
STRE
T= 12816 E liTH AVE
ADDRESS=• SPOKANE KA t:.. !,WJA 99216
UONIACi NAME= BILL — SIMPSON SANITATION PHONE NUMBER- 509 924 478i
BUILDING #•• # #: a#..:F.Y:• : FRDNT= NA 17 N RIGHT= NA ' .... ,!•.
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CONTRACTOR= ,:;.#.tt#'s . Int SANITATION PHONE- )-? 926 .
STREET= 7012 s P # v
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ADDRESS- ;''.KA dr'. WA 9 /2i i
PROCESSING
t_i#...6r E .....!N N 1 i ...!.)#'v •4 f-1..t.r .. _. ...
PERMIT :# FEE AMOUNT MOMi PAID i "! #NOWING
SEWER PERMIT 50.00 .00 50.0o ,
750.00 .00 50,00
PROCESSED BY : :. U....i. ::. ,.:-IAT TO
SEWER t.::.i'°.' # E.i ;t': —BUILT INFORMATION AVAILABLE AT THE t N„ii iI
).
U # IL # .'t.#::S DEPARTMENT (456-3604) ....
CONTRACTOR DRAPPLICANT
IS
FIELD ; ,##;ATE AN:o CONFIRM THE
ELEVATION j'±'4:` P#..#.'>x. I I ON OFF SEWER i-;` t 'spa ANT ; i..1..I{ _
EXCAVATION
TO LOCATE :.. :!-..i.#::.!? CABLES.), GA;:'• PIPING, WATER LINES, ECT ,
rALL BEFORE. YOU DIG (456-8000)
SEWER STUBS UB,;•. :iRE TO BE CHECKED PRIOR OR O CONNECTION TO INSURE
Ci,..EAR ANDUNOBSTRUCTED (# 1 SEWER t MAIN
*K******* !.:iLL FOR INSPECTION PRIOR TO COVER :t:•k-P:-A'-P.•x*P:*
•
.,c yj.::.*f'•9t**- 24. #..#t'Y#II;. NOTICE #»'° i t k t.1 (.jF. :-f..}k. ,..is.:,r j.:)j.
*4(.3* 454-3604. *p:•3i•H•Jt•P:•Jfi'11':ss::ej:
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-)>}`lt:;.is 9r 9+:'.:::9:a::•t.. .. :.. ).:3. ).l�. }�.1,)i'-):-Y:3i-i'i i"r ti 4L- THANK you . ..:1>C .... ....... !.!,f.!-...-:,!.h 1.,. 7.1..,.. !...1... lk
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: __ _ _____.___ _._____—_____ _________
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