1991, 03-13 Permit: 90005577 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
.:'':t i,.Jl:..t., I NUMBER= 90005577 ►:S LIED ..RM.I. I DATE= 03/13/9i 1.AGE::r. 01
I.;E.
iN.N-.H-ii• f,•**•ii•N•**n•ii•ti•?i••h:•*i1 9i•N:•N-•?i•Ji.3 j,....% ': /r . T INFORMATION
,u.................i,•Vii•ji•ji•*:ii•;,i..ji.ji.ji.j?::r.*.n,jy..N:
SITE STREET= 12606 E 16TH AVE PARCEL4= 27542-05 05
ADDRESS= SPOKANE WA 99216
PERMIT USE= 1.:.;:WER CONNECTION .... 0001
n,iiri• .`ESL:. NOTE ri• i+.
PLATO=:u:= ;;?01 04.: PLAT NA}'iE:::: OPPORTUNITY TERRACE RAl..:E 2 D A:OD
BLOCK= t LOT= 5 ZONE= AGSUB DISTO=
AREA= 00015975
.. s DEPTH=
. .
?4 ; t ? a; . tWIiEiwY :. i WATER DIET : VE_ ?
c:WNE:R::: 1f C::KENSON 0 L PHONE= 509 `-':c`.:;:`. 1104
STREET= 1-: ii .BOX 1 :43
92.'i
;
ADDRESS= ..'tI"`[.,ll{(•'(rJE:. WA , ::. } s:?
CONTACT NAME= LEWIS STONE PHONE NUMBER= 5099207710
BUILDING SETBACKS : FRONT= NA r::.'- :: RIGHT= NA REAR= I•,1}!
?x rnnu ?nxnn} nust nnn*nx n ; #** i nSEWER EE " . I nnhn3' t :fnr 3 r axk •i+:ifinnnnfi *, nn ? r y
CONTRACTOR= TOM : l } EXCAVATING - 1[ - = 928 7710
STREET= -i •i •i , i•,J 11Ar'iE::E<° RD
ADDRESS= SPOKANE WA 99216
ITEM D:::SCRIP.T ION QUANTITY ! :..:. t+r'It..1t.?r. .
PROCESSING c'):NG EFEE:: r 10„00
SEWER CitNNECT-:I.ON 40,00
ik { { k rir nn4 {ui *nnr nn **nr ?rnu n * PAYMENT tIMMRYr N PiiPAtJ9P , niiiYi nPP ? aRfi9i..
•n:
PAYMENT DATE REEF::E J-`T:;I: PAYMENT AMOUNT
03/13/91 1227 7 ;:•30:.(:10
................................................
r.r. ,
TOTAL DUE= :.0 f:T TOTAL 1 f•-!t... Fi..!.!.D.._ 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
1::.a.,.?e:.R PERMIT 50,00 50,00 ,00
50.00 50, 00 , 00
PROCESSED BY : jULIE SHATTO
PRINTED :€(Y : JULIE S I"I f••Y ! O
SEWER STUB AS—BUILT .1i•?F(:lI •ii} I .J.t.ii'•I IS AVAILABLE AT THE E I i.t i1 i ! •r
UTILITIES DEPARTMENT (456-360 4)
CONTRACTOR OR
AP 'IIcANT Is " i i FIELD . l :: tAND CONFIRM THE
ELEVATION ' \� POSITION F EWER
STUB I::'I`I:J:(:iR TO ANY OTHER
E:XC±A!VAT:I:t; N
TO LOCATE BURIED CABLES, I..f!:: PIPING, WATER J...:I:iJE:.S, ECT .
,
CALL B F BEFORE YOU DIG �:'-r:_•,..y...-t::}?:,i�,?,) ,
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION
? t.1 NS1.tR'..
THAT ! ri l::.Y f•'Y J":t::. CLEAR f•:!r t.(D UNOBSTRUCTED r(t THE l::. :1=.L:I J=I;; MAIN
•n:•n:-n: :•n:***•ri (::AI...I... FOR INSPECTION PRIOR It1 COVER .;i.:u..?i•*•u;•?t••:..h:**
24 I«IillII'. NOTICE REQUIRED E% i. i??r*) ?:
:i iii•.'r G :::,C :;
456-3604 i+.}:;!!, kiin,i?N;3k n.
?., , 1?*7?•i?..,r T?•1?•4?-9t•1r•,?••A•3?•9?•fi•it 9r N:;r•r.••,?••,r•ir lE•',?•ii:+r* THANK YOU *ii•ii.*r.'•*it*i?•1>.•tr:+?•*•ri•3r•r.-:rc n•ii••i?•;F•i!:*ix i}••i,•*:+E ai•*ii.:,;.:n.
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: |nit: Appr:
(in) (out)
{ -
-
oept.mBlogs.
-_ opociu| |nnp.Final Report
Hydrant( )
Lock Box
--- —i -
Engineer's RID/CRP _
Easements
Road Plans/Improvements
--
Bonds
Planning / -_ Bonds
Utilities _– Double Plumbing
_ --
ULID
Other
^~ ^~^^~^`~~`~~`~`~^^~~`~THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE 0pOCCUpAmCY<]mLy—~^``^`~~~~^~~~~`~```~``
Date received for C/O procesing: 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:
ate-minotygaysehorC/0ixouonvs
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
wvmnpnnuofmmownor/contraotn, plans destroyed: -_
r` 3,
I.
S P O K A N E s 'it ,,0 U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON. DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: October 23, 1990
TO: Tom Stone Excavating
North 1112 Mamer Road
Spokane, Washington 99216
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application #90-5575 #90-5576 #90-5577
DATE PROPERTY ADDRESS FEE
10/23/90 East 12606 16th Avenue $ 50.00
South 308 Mc Donald Road $ 50. 00
South 311 Whipple Road $ 50.00
Amount due and payable $ 150.00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to November 2, 1990. Failure to remit
this amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703