1990, 12-12 Permit: 90006190 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oo,mvmot/nuvooxummoom/s*xm/uunp/mm/vn.otutemutmomm,mununvontomoumnvnuoubmxtouuvmovnnvagentmcomonooumn rmit/application is true
and correctand athorize Sokane 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 o,not./understand that the issuance o,this permit/application unvunvouvsevu*",/nopon,mnupvm. mo,comnvumomuoounvmyonuonmoocoom=oo,v
give m n 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
` - -'- - - !- -
,IROJECT NUMBER= 9000L190 ' -- -
PFRMTT
**************************** PERMTT INF8RMATION ****************************
�ITE JTRE�T= � iOii i8TH V PARCEL-4i,= 28542-4016
ADDRESS= SPOKANE W6- 992O6
PERMIT USE= SEWER CONNECTION - NORTH KOKOMO `
***
PLAT41:= 00i857 PLAT NAME= OPPORTUNTTY SUBURBS •
BLOCK= 2 LOT= i7 ZON�= A� U� 3 "i") � F
AREF/A= F WIDTH=
OF •
GWNER= ;f: • `L:GNF= 509 924
AV[
ADDRESS- SPOKANE WA -9906
CONTACT NAME= LEONARD - H
BUI�DIN� %ETBACK%: FRONT= HA LEFT= NA ���*�= KA PEAR= NA
**********�*****.:!0 **) (�*****�*
OM-TRACTOR= H CONSTRUCTION PHOKE= 509 9�6 8964
%TREET= ii817 E VALLEY�AY �VE
ADDR[� - %POKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMC :T � |
------------------------- -------- ------- --- ' |
PROCE%%INGFEE ~
SEWER OONNECTION
PAyMENT EUMMApY ' **
- - -
PAYMENT AMDHNT
- ^--� -- _
TOTAL DUE= TOTAL PAID=
' PERMIT' TYPE FEE AMOUNT AmOUNT PAID AMOUNT OWTNc
- ------------- ------------- ------------ ----- ------
% WER PERMIT 50.00 50 .00
-'------------ ------------ -----�-------
5O . O0 5O . .00�0
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE S;ATTO
- SEWER %TUB A%-BUILT INFORMATION THF COUNTY
UTILITIE% DEPARTMENT (456-3604) -
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE COi' FIi:;;H THE
ELEVATlON AND POSITION DF !�FWER ETUB PRIOR TO ��Y :THFR
,ziuRIED [hABLES1 QA%
CALL BEFORE YOU DIC ( 45"-800O�
SEWER %TUBSA-RE TO : BE CHECKED TG PRIOR CONNECTI3N
A�� CLEA6 ND ��T�;CTE� TO THE �EWFR �AIN �
********* CA[L FOR INEPErTT8N PRIOR TO C8VF�
24PDU� �fl7 7flFR �
� TRFD - -
********* ' **********
z `
*******************************)1.. THANK Y3U *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit: Appr:
(in) (out)
Dept.of Bldgs.
---- __ -_ Special lnsp.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 OFOCCUPANCY 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 mspnno|odby: Date.
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor plans desmyoo: _ __'