1990, 10-01 Permit: 90005004 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 /r APPLICATION
OWNER OR AGENT �-•—( - c DATE jU
PROJECT I,t,-,,i"i,_,F:.R= '%';;J!:Jtl:::{:?!;?•: ; : .
J!:+.N.1!,,}!*1!)!?!N.JE*..!,)t i.:.}.i./...7,)•.)=1.)... PERMIT INFORMATION J.
SITE STREET= 11306 i::. 12TH A h,... i„'A-::C:'_€...-ir-- 20542-2106
ADDf?E:.SS .. SPOKANE WA ?9206
PERMIT „!S ;:::: SEWER CONNECTION FOR RESIDENCE
**•N: SEE NOTE *i.*
Pi...r.:: : •„--_ 001 y.': PLAT NAME=
...iKOt,=''t,O TOWNSITE DIET
•
€... :1 T= 11 .L.r.1 I :4 t t•,; D.1 ,:+ t 0=
WIDTH= DEPTH= R/W=
OWNER= »"'::t t-"r•:t€i•; LONNIE F PHONE= 509 920 08 31
STREET= 11306 E 18TH AVE
CONTACT
JI : NAME=
? l = .
CNN I ESI i € . F _ TRIGHT=PHONE NUMBER= 509
: r9 92:
0031
BUILDING »ETB^: K » FRONT= N` LEFT= : ; : " „ " :( : J`
..:...* +.. .... .... .1.. ..,C V. ..3 ...0 t t :1.P:*.-.*9•*'N:?.*.:..-R:....?{.:R?.-1...�.• .j..1..........x*
?r Jr•Jr•...�3.)..,,.1�.:1:..�..u..)+:•!!•:�:7.-1:•P:94 7r:4-!r-N:•)r?r•ir X•&•f.•3. :.:•1:::`.,�i::.F'i t-'1::.i».'s': ..
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10.00
SEWER CONNECTION 0 0 0
::..t:,:a:t:::•.:t::•'...•.:•.:•.::-i ., .. . Um{ Aj.,'` J.iii:*:.....P:•****.A.n..R.:?{..N..j,'. ..j,*-Pi P: *:1.'A-1k
i•.d.7,:•.N.1! i!1!i!-}!N:!1!N 1!9.;. .. .'. ';. :::. ..i..r €•'{•.j��'i€:�i"'� I ,.i t..t 1...+. . f
PAYMENT DA t E: RECEIPT4 RECEIPTPAYMENT AMOUNT
.; 5929 • 0 ( 0
TOTAL
, T", D% E' .00 5 : "L PAID= '
PERMIT TYPE €:-I::.::. Amt.?UN + AMOUNT PAID AMOUNT 1 t.f... t_,
SEWER PERMIT 50.00 50.00 .00
50,00 r. ±::' .
PROCESSED BY : jOHN LAR:`.>is N
PRINTED BY : JOHN €.„ARSON
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE ATTHECOUNTY
UTILITIES DEi-f•?Ri MEN t (456-3604)
CONTRACTOR OR APPLICANT IS TO t.. T.1::I...(.% i...t._tj.:t'r € AND i::t;iNFRM THE
ELEVATION t-:±N D POSITION OF SEWER STUB F` '..,.O O ANY OTHER
EXCAVATION
TO LOCATEBURIED CABLES, t.r A,„ PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG G 4•456.... c00t
SEWER : c . „. BE
CHECKED rR I O ` TO CONNECTION lO Ii '
E
THAT ,HEY ARE CLEAR
,,•'<:3r i{..N:'tk ik CALL t"O I't INSPECTION PRIOR TO
COVER *9.A--P:'.'N:9..R:k..F:
*i.i.irJ.i.i.i{...: 24 HOUR NOTICE REQUIRED v:ft.*:1!:?.N:ii''1F'N:'1.•
ili•?.*4r•N:i!.*.},..N. 456-3604 ,i{..r..1...A..N::r-1!•-?k'P::IIi
****************************K***. '.:(..(.:,t:,t.:¢-�.:1.. .:;.... . *A?.t:•J.9.1. *i.?. .?.X..?. .
THANK±'••f l%i`, k t t_j 3{t.......1.4... .1. ..,..,' !r
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
Lock Box
µ .."i.
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: