Loading...
1990, 09-27 Permit: 90004910 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE ' �POKANE.WASHINGTON 892GU (509)456-3675 /vomfvmut/hvvoevommoum/op*mmonnooauon.ntutomutmomw,munononntamoumxunuouumntouuvmoonnragentmuunpxooumn rmit/application is true and correct, and authorize Sokane County to proceed with nmcossmo In addition, / 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/apon and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to ' ive authn to violate or cancel the provisionof any state or locl law regulating construction,or as a warranty of conformance with the provisions of any state or loc / laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE • F / • | . PROJECT NUMBER= 90004910 DATE= 09/27/90 PAGE= 01 ISSUED PERMIT **************************** PERMIT INFORMATION **************************** SITE STREET= 12512 E 15TH AVE PARCEL4= 22543-1405 *, .� ADDRESS= SPOKANE WA 99216 � PERMIT USE= SEWER CONNECTION - 8801 ' 1 *** SEE NOTE *** 1 PLAT4= 001345 PLAT NAME= JORGE % ADD ' BLOCK= i LOT= 5 ZONE= SFR DI%T4= F � AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 4 OF BLDG%= i 4 DWELLINGS= i OWNER= AME% WILLIAM C PHONE= STREET= 12512 E 15TH AVE , . ADDRESS= SPOKANE WA 99216 CONTACT NAME= LEONARD - H & % PHONE NUMBER= 5O9926 8964 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA ***************************** %EWER PERMIT ****************************** CONTRACTOR= H & % CONSTRUCTION PHONE= 5O9 926 8964 � � STREET= 1i i7 E VALLEYWAY AVE ADDRESS= SPOKANE WA 99206 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- PROCESSING FEE FEE Y 10.00 SEWER CONNECTION i 40.00 , ******************************* PAYMENT %UMMARY **************************** , PAYMENT DATE RECEIPTO PAYMENT AMOUNT ' 04?/27/90 5923 50.00 ------------ TOTAL DUE= .00 TOTAL PAID= 50.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING --------------- ------------- ------------ • SEWER PERMIT 50.00 50 .00 .00 ------------- ------------ 50.00 50,00 5O.00 .00 IPROCESSED� BY : JULIE %HATTO PRINTED BY : JULIE %HATTO i SEWER %TUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY � UTILITIE� �[��.���[�T (456-3604) CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCA.. -^~ ' -E BURIED CABLE% GAS PIPING, WATER LINE%, ECT . CLL BEI-ORE YOU DIG (456-800O3 SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE THAT THEY ARE CLEAR ND UNOBSTRUCTED TO THE SEWER MAIN ********* CALL FOR INSPECTION PRIOR TO COVER ********** ** ****** 24 HOUR NOT ICE REQUIRED ********** ********* 456-3604 ********** ******************************** THANK YOU ********* *********************** . NN � NN ' SPECIAL CONDITION CHECKLIST Project Address: _ _ __ _ __ __ Project#___ _____ _Use: Dept: Date: Condition: !nit: Appr: | / (in) / (out) --- ------i --/ --i --- --- --- - -- ---� --------- ------ - Dept of Bldgs ! / � Speuia| |nop Final Report_ _ ______-_ / _ ____ ' - --- Hydrant( - *ydmm( ) - -- -- ------' / ------- ' | �������� ( � -- Lock---'---� --- -- - | -- --- - - - -------- - ! ------- | ------- � | ` --------- -- -- --� --� ---- -- ----- --� - } -- - ---- | \ |---' - --| 1 --| -- -- ---- ----- -- - | ------- -- ------ i -- --� - -- --------- - -------- ----' { ------- | ------- ' {.-� ` ` ' ' �---- '--------_ / --�-�--� i -- --- Engineer's_ ___| __- _ -- n|D/ nr Easements Roudpmou/|mpmvemoms__ | ! | Bonds . -�- ---- i ------� ---- - -- -- --! _ --� / ---- ' - --- --------- - - | --' ' ' -- --- ' . �_- -- ------- Planning__ _ __ __i __| Bonda_____ ----- i --- ' --| - -- ---- -- ' ------' ----- ' | / ^ ' ` --- ---! - -�| --' - -- -----�--' � --�--� i ! - --- , - Utilities • Double Plumbing • UL0 - �/ �__--_- -- --- ------/ � � -- -- -- -- ,' ..� . . i • ° _-� -_ _ ____� ,_-� --- ----- | ' --|� --- -- -- --- Other._ _' _ -_� _ • • ---- ---| --� --/ -----� -------� --- ` -- -- ------ -- | -- - -- ------- ' • -- - --'| ---! -- ' --- ------� �� -^ ��-- - i -- ---- • ` . .. . ^ T��GPxC � - � ` � � ^ `` ^ '^~^^`~``~~`^~ ~ ~^~ ` ^ ~`~' SPACE FOR R �L�N3TB�oK TRACKING, CATE OF OCCUc/.' ^~`~~~~~`^^^`~`~~`~^~ � Date � r�i�� f6rC/O� � � /��e� �� ____- _ __-�� ' ��� anapo|kmh/rnmu` Temporary C/O issued:_____ ____- _ _ _�Certificate ofOccupancy issued: Office file review by: _____ _ __ _ ___- Date: Filed|nspfinaleuby:__________ . Dete:__ Ninety days afteC/O issuance: Owner/contractor called regarding the return of plans: _.. ______ Date: ___----- p|�nn��umod� Received by: No response from owner/contractor plans destroyed:________ ________