HomeMy WebLinkAbout1990, 09-27 Permit: 90004010 Sewer . . 401111111M;�
SPOKANE COUNTY 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 Oroceed 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 this 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
PROJECT NUMBER= 90004iO DATE= O9/27/9O PAGE= Oi
ISSUED PERMIT
********************* ****** PERMIT INFORMATION ****************************
SITE %TREET= 12919 E 12TH AVE PARCE|'4= 22543-0840 ,
-
ADDRE%%= %POKA, E WA 99206
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLAT41:= 002962 PLAT NAME= WGODWARD PARK ADD
BLOCK== = ZONE= AG%UB DI%T0= F
AREA= 00000O00 = F WIDTH= DEPTH= R/W=
0 OF BLDGS= i 4 DWELLINGS= i
OWNER= R .^-'^^-7~7 ' = D �' � �-����--
%TREET= 1291 E 12TH AVE I
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD - H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
************�**************** SEWER PERMIT ******************************
CONTRACTOR= H & S. CONSTRUCTION PHONE= 509 926 8964
STREET= ii8i7 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40 .00
********************31********** PAYMENT %UMMARY ****************************
PAYMENT TATE RECEIPT4 PAYMENT AMOUNT
09/27/: 0 5917 50 .00
------------
TOTAL DiE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT —_______5O.00 50 .00 ,OO
50.00 50.00 .00
•
~~~C[0%ED BY • JULIE iHATTr
. .`:
' RINTED BY : JULIE .~HATTO
%EWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES iEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
IN /^ND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVA�� . y
TION .
TO LOCATE URIED CABLEFGA% PIPING, WATER LINES , ECT .
CALL BEFOR YOU DIG (45�-80OO)
SEWER STUB ' ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY nRE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* ALL FOR INSPECTION PRIOR TO COVER **********
*** ***** 24 HOUR NOTICE REQUIRED **********
********* | 456-36O4 **********
******************** ************ THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: _ —_ . Project# _ Use:__._______ —_
Dept: Date: Condition: !nit: 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/O issuance:
Owner/contractor called regarding the return of plans:_ __._ .______._—____. Date:__ —___..___
Plans returned: -- ----_—__-- --_—_ Received by: __._.__-- -----------_._—.--
No response from owner/contractor-plans destroyed: _--._ ________—_