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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 # •P:•H:•fi--P:9t 9k•!b 9:7i•it 94.7;'!Y x 9L•!i-•P.-!t•4'-3:•.}:S':)':%-yt::ti.ar.:er;er•3;• ,'9�-s t...�.!.:t_# # ,,}.Ff•. *i!i•ik-it:'*9?• !•??'fi:•ak*9t 4?'!t-?`Yt:-*7ti 3G i!'Y•lk•}'i i"i?}r*9 *1i."e.it;.:rc it: E .:.. a .... ., :8•, ; , t.. 11CH .. 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= F:*/ ,.f}«.C[ -:!!.')t'!i!!:"_'l.it:) f..'::: �n�•..4� i"I:::: DEPTH= �{�j#ia:-: 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 ' .... ,!•. :.i.:j.* '.::::..*q}::}':,-Lj...:'.* j.:: i.:'.:•y. i..j...:i.* j..'. �'1:ii' - :}j.:j..j}::j.::i::it::}j.:p.i•.:j..: .:y::}:..jt::q::r�.:j.:;'..ii:.i},yj..}!•.jt:;e};:tt;.jl;�,,;.j};;jt; :.l. :.ux1!).,.,... .tl.:.rxn... ).)t3•.n.t.).7...).:.l.fi+.•h: ::.IR{f:.�t .,. I . CONTRACTOR= ,:;.#.tt#'s . Int SANITATION PHONE- )-? 926 . STREET= 7012 s P # v . d f•t 5/i::. 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: •• ''••••• •• ••••i::i.: :,•.:::,'.:2.:::i.•::i.:i.: .:j.:i.:t.*nj.:,:.:}::i.:j.* i.:i.:.i.* j.:,i.:t:.;'. -)>}`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: __ _ _____.___ _._____—_____ _________ • \ rD4S -0 • - 1, ( '11( Locioduseuf--K ac,it Et , \?\ N 3/e_N) ?yvkP r 9a ec I (6