1990, 09-27 Permit: 90004011 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
I
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
Icertify that lhave examined this permit/appli ation,state that theinforma(50tion contained 3initand su
and correct, and authorize Spokane County (509)456-3675
provisionsd and d iandagreeSpokato comply to with ceed with
processing.oprovisions of laws and or, I ordinances d and
thise
s true
or not.I understandherin s to comply sam/ap All
proveons laws
o diva cee s gave n i understand typeed ofee workNSPl be complied
REQUIREMENTS/NOTICE bymeormyagenttocompilesaid
ION
a
herein
einornit.Inthateheissuancion this
permit/application
and es
permit/application construed to
laws regulating constructionf will be complied with fanyst teorloie l
gconstructioporasawaprantyofconfotrmancew�hthep ovisonsofabystatetorloca�
SIGNATURE OFof
OWNER OR AGENT
APPLICATION
DATE
n
� 2 ::
PAGE=• ,
7ISSUED PERMIT i . t7 . } ) } sjt ) ak. 9aa. . PERMIT INFORMATIONJkJ * itJtt. *n » y1t11 . y:I E STREET= 12927 E
: . 7 . : . . AVE
. A it _:H:722i:;43-0839: r : :t : ;. i ' r WA 99206
PERMIT , . . SEWER CONNECTION — lf :J ) * SEE NOTE
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OWNER=::
SPOSTREET= 12927 KANE , PHONE=
CONTACT 7 NAME=
:l : : LEONARD
EONTAD . »
PHONE NUMBER=
509. . . 8964
{ SETBACKS : FRONT= A LEFT= RIGHT= NA REAR= NA
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WA 99206
ITEM DEECRIPT:ON
......:........:........................
{'{{:Cif'.::.:; QUANTITY „•E•::E AMOUNT
EE
:::f:.1J1{..R CONNECTIONY
10,00
1
-
40.00 0: ,
.j .PdNAPY1P9P1 µ% ) natn ! tT: ir ( » } { ; PAYMENT . ANhi ( ?% nkP.ii
... f 4A . {;` `y _, . t, _ _ r
0 { AMOUNT7 l.1
50.00
TOTAL DUE=
.00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT
AMOUNT itry
ty
>>i::.f,.!L:.{•r. {-'l:::rtr•{.. ' AMOUNT OWING
i•}f•j
I {
50.00 50.00
,00
PRINTED PROCESSED J Y JULIE
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50. 00
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AS—BUILTSEWER ETUR
IN
"O i AT O
{ AT THE
COUNTY T .? + IC Ir ' DEPARTMENT '
CONTRACTOR ORAPPLICANT LOCATE AND CONFIRM fiiCf = u {
ELEVATION ANDPOSITION O' SEWER ETU: PRIOR TO ANY OTHER
EXCAVATION CABLES: -r ' PIPING, WATER
: SLL BEFORE YOU p
604)
h
56-8000)
SEWER STUBS ARE TO BE
CHECKED tt Y I t
Cf � "tT iO` r INSTHAT THEY ARE CLEAR AND
URE. K` rYIyri " y - SEWER ShI }tt. r; . r INSPECTION PRIOR ' CCOVER N . jtaiaE. j *. i3 *; , 1 { ; t+ . .. l _. .ff. u*} **A456-.360
.t'N'!?•._•tt'.e 1!:_i;..}.. ,.Jr.}(..t: `.-JL.t:t:•i;.`.:.t:ji•jS.�,:jr i.%�}t•.t•.!•.l•)t. ..!..l.t'*•t!it It P.*
tt•n )!!!t,!.1.}.Jt a?!tt J;1. ?.it 7!?t!t t!
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: —__ —__ — —____