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1990, 09-26 Permit App: 90004910 Sewer SPOKANE COUNTY DEOARTMENT 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 NUMBER-,.:;.:t, ,,.., :..,!..;i"1i':I::.R .. : !':ii"iGi:".° DATE- ;i'? PAGE- 01 APPLICATION .,!..:1..!!..!!..!,. .!y..!!..;!..:..!!..!!...;..!i..x..;!.•i)•!1 1. !. !!. ?. - - i i i.':-{ .!5..li.;11..!},r!;.!..:.. .11. i!:*. '1?'i!::'•. .......,li. :!`:!!:':. ADDREEE,- SPOKANE WA 99216 PERMIT iJ:':L-_- SEWEH cuNNEciluN .... saoi PLAT4- 001345 PLAT NAME= UORGENE ADD t" ETREET- 12512 E 15TH AVE ADD7777 - EPOKANE WA 99216 CONTACT !-'-?Aj'I1 LEONARD .... ?"I{.t?•+1 i '':i 1 t M`i?"S".- .... .. .. ........ ......: :':-.:'.: -.::::: ::, :)i.:!i.:y::�{.::.::j.;{.:;.::-:'- :!.:j.:,}.:,.:,!::,!::,y.:, .;!::i.s{.:i..ii.:i..11::!!..i):§i'.i!.. :,:•. :•.:. :!P:-!!:a't::P:'A:P.1!•P.!!, P.J! !•. i, :).A ?:fi;�i'-i'ifi:!!: :::.:'.�ini t::.?"•. !:'`?::.?•'; 't i, I ........ 1. :. 1.1.A'ik:.i. !.:. !. 7. CONTRACTOR= H E CONETRUCTION PHONE- 509 926 C964 : ADDREEE= SPOKANE „ A 99206 ITEM DESCRIPTION QUANTITY t j •I PROCESSING FEE 10 , 00 EEWER CONNECTION 40 ,00 PERMIT TYPE p.I::E AMOUNT AMOUNT .AID !•'!1''i i,i 1.. ra EEWER PERMIT 50,00 50 , 00 50,00 , 00 50 , 00 t'::t„I;.h.\„I;;,._? BY : JULIE 1 `tHA i t PRINTED {`; : j U L.. ,.: ';=L.I t='t-3 t 't,,; EEWER STUB(,_+ ;•-!:. :,i..;..L..'i' INFORMATION _. AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT .' 456-3604) CONTRACTOR ri APPLICANT IE TO AND ELEVATION 1_? P i.3 ; ?,t..I i•' j;!.. , ?::.'v j!-:is I.t,, PRIOR TO ANY OTHER i iN TO LOCATE BURIED .......... CALL BEFORE YOU DIG ( 456-8000) EEWER SiUHS AHL IU LMLUKLD BE :,i.:!;.1i.n!.:?...!!,.:!;.:!i•ii- -• - i:, : 1CONNECTION TO: 11.%}:'i'f'i1:ti•,j1l;;1l,'j! :il:': EURF THATTHEY t ? . CLEAR ' UNOBSTRUCTED Ti . ( iMAIN y: : : jfi: ji }I ' ' : { :yi ' # ' , ` ; ' T2COVER HOUR j.'!t-{..E: i:: REQUIRED I'I.I.;. •1 j :'!:i}.i!.Si.:?i.Si.::i-.i!.4 456-3604 }!:!!:3!•:1!::!!:9t J!:3!:/!:A:R•)4'h.'•%t Vit'*9t 9t fit'*3k**''1k*a4 9?:+. .. :,I e e I\ T 0 ...�.. .;3t•**•A.••.R-'?•9C)!•it iL'i>.-•A.-X-9?•9:: 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:________ ________ • /JOB ADDRESS: ( 05 1a / SUBDIVISION: /4 () C; DOT: BLOCK: / v� OWNER: (_,? ) V77 0- PHONE: ADDRESS: CONTRACTOR: - 2) PHONE: ADDRESS: LICENSE #: INSPECTION DATE: TYPE OF OCCUPANCY: