1990, 09-27 Permit: 90004811 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
VK1303BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456^3675
SIGNATURE OF APPLICATION
OWNER O8AGENT DATE
PROJECT NUMBER= 98684811
DATE= 09/27/9cl PAGE= Oil
I%EHED PERMIT
PEKHIl INFORMATION
SIT[ �7 T= i2920 E 10TH AVE. PAkC[LJ= `943-M63
ADDRESS= SPOKANE WA 99206
PERMIT U%E= SEWER C,� 8801
xx* SEE NOTE *KK
PLAT 882962 PLAT NAMF= W0ODWARD PARK ADD
BL K= 5 LFIT= 3 ZONE= AG%UB DIS7�� F
AREA= 08080860 F/A= F WID|H= DEPTH= R/W=
� OF BLDG%= i � DWELLING -3= i
OWNFR= K K M IERE W PHONE=
��
%f�E im i2920 - i6fA AVE
ADnRES%� SPOKANEWA�992OA
C8NYACT UAHE� LEONARD - H & C PHOH[ HbH8[k� '01 926 R9�4
BUILDING SElPIACKJ: FRONT= NA LEFT= N4 RIGHT= NA REAR= NR
SEWER PERMIT
CONTRACTOR= H 1 % CON�7RUCTI0N
STREET= i\3i7 E VALLEYWAY A;E
ADDRESS= SPOKANE WA 99261,
ITEH DESCRIPTION QUANTITY
-~~~----~~~-----~~~~~~--- ----
PR8CEC%INC FEE y
%EWER C8NNECTIUN 1
PHONE= 509 926 8964
FEE��:�!�
------
10 88
4; 80
PAYMENT SUMMARY
PAYMENT DATE RECElPTO PAYMENT AMOUNT
89/2T/90 5894 56.88
TOTAL DUE= .88 TOTAL PAID= 58,8G
PERHIT,TlPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
----~----~~----
...... ... .... ... ~~~----~ ~----~~----- -~------~~~--
SEWER PERMIT 56.O8 566� 68
---l^ .... .... .... .
58�68
PKOCE%Jn D;. JULIE SUATTb
PRINTED By: JULIE SHATTO
SEWER ElUB 4S~DUI1 T Ty"-3RHATI0N IS &;AIiADLE 4i TU[
UTILITIES DEPARTMENT (456-3684) _
CT R OR APPLICANT IS TO FTFLD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EKCAY�7 '
/O LOCATE 6URIEb CADLFS GAS PIPIN[ WAT�R iINE% ECT
CALL BEFORE YOU SlL (451~8888) / / �
SEWER 'NUBC ARE TO BE CHECKED PRTOR TO CONNECTION lO INSUk[
1; RF
C ��� �HD .!�� CTR D � TV S[WER HAIH
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456-3684 �
THANK YOU
Project
Address:
noir
SPECIAL CONDITION CHECKLIST
Project #— _.
Date: Condition: Inift I Appr:
1 (In) (out)
Special Insp. Final Report
— Hydrants )
Lock Box
RID/CRP
—_ Easements
_— — Road Plans/improvements
Bonds _—
Bonds—
Double Plumbing
ULID
"""""""... """" 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/O issuance:
Owner/contractor called regarding the return of plans: _.—.Date:—, Plensreturned: . Received by: — No response from owner/contractor - plans destroyed: ---