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1990, 09-21 Permit App: 90004811 Sewer, SPOKANE COUNTY DEPAtTMENT OF BUILDINGS � W. 13030IR0AKD\N&YAVENUE SPOKANE, WASHINGTON S0260 (5V9)456^3675 SIGNATURE OF APPLICATION OWNER 0HAGENT DATE PP0JECT NUMBER— 96664811 DATE= 89-21/91) APPLICATl0N APPLICATION %ITE %TR[[T= i2926 E 101 AVE P&RCE['= 22543—G,583 ADDRE%%= SPOKANE WA 99206 PERMIT U%F= fEW[R CONNECTION — 8901 »** %EE NOTE *** PLAT '7= 002969 PLAT NAME= WOOI)WARI, PARK ADD BL0CK= 5 L OT= 3 ZOH[= ACCUR D.1 ST' F AREA� 66668O0o F/A= F WIDTI = DFPTU= R�W= 4 OF BL6GJ= i DWELLINC%= \ OWNER= KlKCUH[I[R E W PH0N[= STREET= 12926 E i0.f H AYE ADDR[E.3= SPOKANE WA 99286 CONTACT NAME-- LEONAKD — H & J PHONE: NUHB[R= '109 9',!/, BUILDIUG %[TDACKJ: FKOHT= UA LEFT= UA kIGUT= NA REAR= NA 91'WER PERMIT »*** CONTRACTOR= H 1 % CONSTRUCT ION PHDHE= 1�89 926 37�4 1�1REET= i1817 E VALL[yWAY AVE ADDRF99= C[0VANE WA 99286 ITEH DE1CRIPTION DUANTITl FEE AHUi|UT �� ... .... PR8cE%�lNC Err ... .... .... �� Y i�0; SEWER CONN[CTTIN 1 4,", 88 [ERMIT TYPE FEE AMOUNT AMOUNT PATI) AMOUNT OWING -----~--------- --------~---- SEWER PERMIT PERHIT ------~----- 50.86 88 88 ------ -----5818O 15T) 1 00 .... .... .... �8G 88 PROCE%�ED BY � JULIF �HATTG PKINTED BY� JULI[ CHATTG JEWER ETU8 AS—DUlLT INFORMATION IC AY&ILA611: AT THE COUNT UTILITTEE DEPARTMENT (456—'W,01) CONTRACTOR OR APPLICANT 19 T§ FI[LD LOCATE AND CDUFIPH THE ELEV&TION AND PO"'ITIUN OF CENEk TTUD PRIOR TO ANY OT||ER [XCAYATIOH TU iOCA7E BURIED CABLE%. CA% PIPINi, WATER iINE%/ [CT, rALL B[FORE YOU DIC (456-8006) SEWER SIHBE ARE To TIF CIMCKFI)TO CONN[CTIOU TO IN"'I}kE THAT THEY ARE CI -FAR HD MOBSTRUCTIED TO TU[ %EWEIR HAIN ********* CALL FflK lN.SyE T OU PRIOR TO COYFR 24 HOUR NOTICE R[QUIR[D *****»**** ********* 4'; A-3/,",4 ********** ***************»**************** THANK YOU I SPECIAL CONDITION CHECKLIST Project Address: _ _..._— Dept Dept. of Bldgs Engineers Planning Date- _�_ J Project #— __ _. _.. —__ _Use:—__ Condition Special Insp. Final Report_ Hydrant( Lock Box pit (In) Appy. (oup _ __.. _ RID/CRP._.__ Easements Road Plans/Improvements- Bonds______— __ Bonds -__ _ Utilities _.__. Double Plumbing Other— '•'•"" THIS SPACE FOR COMMERCIAL PLANS TRACKING, GENTIFICATE OF OCCUPANCY ONLY'*---... Data receivetl (or G/0 process nq _.. -. Plans pulled for final processing.�- Temporary C/O Issued'. _.. __ _. -__ ___. __ .Certificate of Occupanry Issued.--___. ----- Office file review by. — _— —.---Date- -_ Filed rasp flnaled by - --- - — -- -- Date. Ninety days after C/O Issuance Owner/contractor called regarding the return of plane'. ... _ . Data -- Plans nirnnd. __. _. _ ___- _____ _.. Race l ved by. No response from o enencentraetOr plans destroyed)_—