1990, 11-15 Permit App: 90006175 Sewer r
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 proceed 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
i'`i`•`.i.!•_#t.:.t.: } NUMBER—:: 90006175 DATE= 11 /15/90 PAGE=
01
APPLICATION
R c J } cta1 : ;: s : h 3j pijAJAPPLICATION t1rittryJh**: 1Jtl *J9TRJt } ?J ! hw p tj
SITE
E. 11
:. .i. ? }::: ,. }r'•.}:::I::. }••-� 13007 E 12TH F:}i9 I::. .�.:}...1...:u:= 22543-0033
ADDRESS=_: ,'rr'OK,ANE WA 99216
PERMIT ,... ..,,.u, CONNECTION
:u.ie* SEE !aO?
#..: PLAT di d"fh tW rOAR YPARK { J
BLOCK= 8 LOT= r-: ZONE=
r...... r}
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
:' +r( ? "
'f' ±..!#' .�SI...I.Jfy `•:: 1 •N- DWELLINGS= }
OWNER:: SUNDERLAND, R H }"'HON
ADDRE SPOKANE WA 9921 6
;.t,..IN..{.„ NAME
o. , >..:.. .. •, PHONE NUMBER= _ 0964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA -
t .1py ? .1 * ?ltt .} } i: nr tuy kv*AJASEWER
EEtPE :" ; { ************* *************:k
CONTRACTOR=
1NTR-COCH CONSTRUCTION PHONE= 509 ;^
STREET= 11017 I:. V f••1 i...I...I::.Y IA?(-i Y AVE
i::.
ADDRESS= SPOKANE WA 99206
ITEM .t'.J ,:>t::i" ii`"I :#..,iv QUANT . . .. E E: . , }
PROCES .i:N:G F :''i•:' y 10.00
..... .... ... OUNTOWING
50.00 .00 50,00
PROCESSED .t:• , . :.,U t...}.}._ :•}i A t t O
PRINTED i :}::Y : -"!}..L I E SHATTO
SEWER 1,#t•.. AS—BUILT INFORMATION IS AVAILABLE AT T I 1 F'. COUNTY
UTILITIES .DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT i...t.CAN IS TO FIELD LOCATE AND CONFIRM Irt'M i ..E
ELEVATION {:}N I:} POSITION OF SEWER _`.>TI_EB PRIOR ±'(-i A f 1 Y OTHER
V.. ..AVATION
O LOCATE ! ?rIF ? CABLES, _ s PIPING, AtYFF LINES,` rS
i:'.#._: ..
CALL
:;, # B F{i.: .. YOU DIG (456-0000)
SEWER ,
v : ARE O BE CHECKED PRIOR TO CONNECTION
TO INSURE
THAT THEY
ARE CLEAR (1 N Y? UNOBSTRUCTED TO f 'T'I•-}F' SEWER t-iATt`•t
F,. ,.
-A:•k k�..j;..}}..J....,_.,t. CALL FOR;t: 1.E`*}:ti}-'F:.}.: 1 .I fw'! J P F{I!i Ft TO COVER *p:*N.••it•***k*
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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 0/0 issuance:
Owner/contractor called regarding the return of plans: -- — Date:
Plans returned: Received by:
No response from owner/contractor-plans destroyed:_ —_____— —
JOB ADDRESS: - 66 / ` 0)004.t.4)
-1q7Ae
SUBDIVISION: " 3 LOT: BLOCK:
OWNER:- e el PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: