1991, 02-12 Permit: 90006712 Sewer SPOKANE COMITY 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
PROjECT NUMBER= 90006712 F.,ATE= 02/12/9i PAGE= 01
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?Pt f . 9 J 9t 5?.• ! t`t i ff'L) F s 'r: : : ' PERMIT Id? _RMi . . . r1 ., .. . 3i , . t1f , : rit1 . , : .
SITE STREET= 10808
r., !7 T H AVE PARCEL4= 28542-4303
ADDRESS= SPOKANE WA 99206
PERMIT •E = SEWERER -CONNECTION — ;.i.; ~ wt,ii<_ "
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;*rSEE
NOTE +;§i'u'
BLOCK=PLATO=
393 PLAT NAME= SKYVIEW ACRES iST ADD
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STREET= 10808 :.. 18TH j AVE
' ADDRESE= SPOKANE WA 99206
CONTACT
;•T-CT , AME : DONNA "l iP1HA' NiPHONE NUMBER= . 924 5485
BUILDING
SETBACKS : FRONT= NA LEFT= NA RIGHT= HA REAR= NA
.KK:!. .t , .J:PR? t .4..fJ *:,.:t a : ca *s { ; ¢ ( ; .- PERMIT ***********************:**K§***
LuNi ,..,':.i, i N:;' CONSTRUCTION - ._ .....
PHONE= 509
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM
DESCRIPTION QUANTITY AMOUNT
:
PROCESSING FEE 10,00
SEWER ,.,:ONNEC._I.:r ON 40 ,00
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a, PAYMENT r.i#-i
PAYMENT DATE -
02/12/91
,... ::
•:
PERMIT
.i.T ti _ :rFEE AMOUNTN AMOUNT PAID AMOUNT ltI G _..
SEWER PERMIT 50 .00 50 .00
,
PROCESSED BY': .. ,..::: i..j t.i i �1
I
PRINTED B..'j .; ...F Ui.....?::: E i"I fi I I O
i_.,i...;.. STUB ••i i l•I ILt.... AVAILABLE i.. COUNTY
.
UTILITIiE• DEPARTMENT (456-3604)
-• r _ N r C: TO R OR t - `vtr _ r � i �/ T ! FIELD
1E3j LOCATE
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_
ELEVATION AND POSITION OF : -% iPRIOR ANY
OTHER
EXCAVATION
ION
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. , ;, (456-8000)
SEWER i . B S1i TO
F CHECKED 'i ; €�;, :d..,j.:H.:1i:�(.)•,.t.3.C .,
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THAT TN
P.
THEY .E CLEAR +IUNOBSTRUCTED iySEWER Pi
9 *** ttPCALL . : i
'!• r $ HOUR NOTICE REQUIRED ) it) Atk
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) ) b t) t g1 ?a. t r t ; : c k : : k: : : : :*9kiTHANK YOU .{*) *t ,. .:,6:* tJf1... .. . . .,. .. .. .. ..
3
SPECIAL CONDITION CHECKLIST
Project
Address: _ Project#T _ _____ Use:____—__..__
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs. -------__�__ _
Special Insp.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 OF OCCUPANCY 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 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:_ _