1990, 09-27 Permit: 90004808 Sewer 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
3•' I i I NUMBER= 90004808 DATE=E= i=7!• 0 PAGE= +'.3i
ISSUED PERMIT
-it*3G•}i• i•it ii it N.t,.j:.**•i+:9+:•ir:IE i+i i+:•ri ii tr i?•f?•*s+:r?•1?• I`E i•=:r't # .t N i:. i#,;ice}pii i # !N •}i•:iE ji..jy:;;.iE i..j;..j;..ii*•iE*i,:)?••-r•:••iE i+i a+i tii•i*k•ii•*i;•ii•3{di•
I i-' :. ' E.E. i '.. 12407 1... 14TH A,V,!.' "t.".C....#...'.. '- 2254 -2307
ADDRESS= SPOKANE WA 9921
PERMIT USE= SEWER CONNECTION ;:
*3i•3i- SEE NOTE 3,:it:3i
:. iu _ 00i392 PLAT NAME:: tOFME. i ` 1: j . a ' # ( N
BLOCK= LOT== r ZONE= MFSUB B liI # O.... r.
AREA= 0000 0000 i .%c.::: F• WIDTH= DEPTH= Et'/W=
OF '.', ,f.. :i :: 't o: 0 W Et...t...:#.N c;,:-+ :: '1
OWNER= 'i.i.t::i 1 "+"I , K ":•r L PHONE=
i t'4t::.I::. # '•• +•t:)•�� j, i •Y•I i••2 r VI
ADDRESS= SPOKANE WA 992-16
i _ , ¢ : NAME= LEONARD . HPHONE
' ENUMBER=
U
" i= 509
s a9 9 �' 0964
4
BUILDING :tr "A : , : FRONT= A LEFT= Ni= - EY - -- NA , = nom :
NA
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CONTRACTOR= : CONSTRUCTION PHONE= 509 . 8964
ADDRESS= SPOKANE WA 99206
ITEM EM DESt.:Ri.t , ON - QUANTITY r'EE AMOUNT
PROCESSING FEE i0 ,00
EEWER CONNECTION
40.00
.,T :•i:M:: .,P.:
... ....... :.... 3 . .. .. f 3 ;.3.,;#'#r;r••i#•_.:T :************************K***
;E 3i.:t;..ii--}i:•ii:,i:•i,:�P:•i,:u•�P;•}i•!r P:•ia•3?••Sr�3?•�,;1i•'rr•i,;.,,:.1,,.,,;:,:.}i-:�:�P:�P: (�'-}'r t•.::.1'°. I
PAYMENT DATE I'ti I::.S.......I.I ? N' PAYMENT A.
OUNT
09/27/90 4? ..r: :%'._ 50. 00
TOTAL i AL. D E:.= .. , ,j0 TOTAL A1... PA:i.D= 50.00
PERMIT ..TYPE FEE AMOUNT r• MOON. PAID AMOUNT OWING
EEWEFl PERMIT .00
50.00 50.00 .00
PROCESSED BY :
PRINTED BY : t i -'F
SHATTO
SEWER STUB AS-.•T:{I .i.L i .'I.INE'OE'`MA i .i.C:tIN IS AVAILABLE AT THE COUNTY
UTILITIES DEPART
CONTRACTOR OR APPLICANT .y..#.,:::., _
.,. �(:� FIELD LOCATE .t t;i() CONFIRM THE
i..
OTHER
ELEVATION( aa''r:AND POSITION I i;- SEWER PRIOR TO ANY
I::.:'•.l.:i''1 9 F i f .C.t N
TO LOCATE BURIED t...A 'ii. I::.::: ; GAS PIPING , WATER LINES, i:' :. i "
CALL BEFORE RE f t.;U 1_3.i.is (456—O000)
SEWER STUBS ARE: TO BE CHECKED PRIOR i O CONNECTION TO INSURE
THAT T I HEt` ARE:: CLEAR AND UNOBSTRUCTED ED Ti•' THE SEWER MAIN
)t;R P:..y..!k'3?•}+:•3+:3t CALL i='is i F; INSPECTION PRIOR TO COVER -h:s:3i••b:•3,:*3i••i+i 3i•3,:
:ii-3k 3i•3 t,:3i..j;.3;..3,. 24 HOUR N=._t ILt.:i::. REQUIRED P.::.;i..y:..j;.•r•'•3i•3i•3E?i.
'il'3,i:**3,i*•A}'Pr'P: 456-3604 h,,•+ l4 ,,,,.. P:3:3+}3h{`i
.t:'.: -x:•.::::s..:..:...::.:,:.:,;.:•.};..ar.:,:a;..r.::...:,;.:,:.:,:.* ;.:,....:t.t•• 3i-3i•li'*.) 3i•*3i•3'.3 3i•3i 3k 3i'3i•3i'3t•ii'3'.3Fi 3 ;,t•Pi 3'.3'.3i'Si-3i'3i'3i-Y•3,i'F'
k!?t�.r!?!?!?.,t,:.t...,-n....:.t. ..i.r........,r.t..,..l.!?t?� THANK i ,..:;.!
SPECIAL CONDITION CHECKLIST
Project
Address: Project#—__ __ Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs. ^�—
_�_ Special Insp.Final Report
-----___ _ Hydrant( ) __.--
_------ �__-- Lock Box
Engiineer's _ RID/CRP
• Easements_
Road Plans/Improvements
Bonds
Planning •
Utilities T — Double Plumbing
ULID
Other
•
"—***************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY""****************************
Date received for CIO processing: —_ Plans pulled for final processing:---_---_---.-------.-----------_____ .___--
Temporary C/O issued.: _r _ Certificate of Occupancy
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: