1990, 11-06 Permit: 90005571 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
F'ROJECT NUMBER= a;A..{.E • 7 1 . s)c). AG1:::== 1
ISSUED PERMIT
T
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SHE E ti t HE ::. 108:.::0 l::. 18TH AVE PARCELO= 28542.._4301
A!.!i.?i'':ES,_ ' SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION NORTH ±:,ii,ii "i..1
PLATO= f•.f0S.:.}93 #"L..A I t:f••it'}I::: :: 1 IE'. t•.i.::`. ::.:` lET AD
BLOCK= „f) LOT= ZONE= AGEUB DIET4=
AREA= 00000000 t• /. ",:::: 2• WIDTH= Tjl.."..Ti..I... Ii :: "
... Bt...IJGE= t •,1' I1 Wt::.t........t.Nt8,:}::::
OWNER= MARIER : LEO 1::'1•10N
ETRE E,!•::. 10820`.??) 1f- 18TH 11'i (t,iE
ADDRESS= ••i..i<' NE WA 99206
CONTACT N- :. , IJPHONE NUMBER= 509 924 60 ;
BUILDING Et : 7! , FRONT= t LEFT= Ir . - NA REAR= NA
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CONTRACTOR= . ICONSTRUCTION r'H{.It?I::.:... 509 924 6077
: :•.:...I..: i ::: 10';04 I:•. :;r_J I i I:::Y i..i r1Y AVE
ADDRESS=':::: :>I:'i::II';AI is WA 99 206
ITEM I::M +:)'±•.:: s i:::R:l:':,..t..I:c:i•.i QUANTITY I::I:::I:: AMOUNT
•
PROCEESING FEE 10,00
`iI:::Wi:::R CONNECTION N .c;.0 „00
. ,::::.:.:.:::.s.:,: '•',:''•;:.:..:..:::•.::...:::::,: ::::: P Y�.; 1 :: t H"�':;?y .........•t:•:,:::::•::.:::::::,..i•.:,..:,..,,....:+....•..:{' ,::,:
1,..J?-'J+:'1? 1,:'Ji'.+ n 1+ a H 1?J, a J 1?i J? + n 1+ 1, 1!n h n J?J ! 1? 1, #•'r•�+; !"±.::.t'. ± ... ...!.!t(±±. , 1,.34'1?•3?-3?':, , t, n n R J?1?1 ?1 J J'
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
ii /06/90 7037 50,00
TOTAL DUE;;:::: +:10 TOTAL PAID= ':i;) . c'1'•:.)
PERMIT I . IFEE AMOUNT AMOUNT PAID AMOUNT OA ] {"
S I::.W E:F PERMIT 50,00 t::>+: :.t•:Jt::J ,00
50,00 50,00 00
PROCESSED BY : JULIE SHATTO
PRINTED B r : ,.i i.}I...I E ,`•.'i..l;+ ! {•{:I
E ?I:::I: STUB AE—BUILT INFORMATION IE AVAILABLE t i. ..{•H•I I::: COUNTY
UTILITIES DEPARTMENT (456 -3604)
CONTRACTOR CIP F`+f:,F::l...:l:±:.'r`iN.{. IE TO FIELD LOCATE AND CONFIRM THE
ELEVATION ANDPOSITION OFSEWER STUB PRIOR O ANY OTHER
EXCAVATION
.r.,.. LOCATE BURIED :A:Etl...1:::,> {=AS PIPING , WATER t. 3:Ni__,; , E,.,.}.
CALL BEFORE YOU DIG k41.7;6-8000)
SEWER ETUDE ARE TO BE CHECKED PRIOR 10i.,ONNEi:.: { .I.rO .! INSURE
.E
THAT+ t i..tE ARE i.CLEAR R r• ND UNOBSTRUCTED .t O THE SEWER R t"€A I N
. . 1 r 1 1 :., CALL i::l i i INSPECTION PRIOR R '('CI COVER 'P:-K•R• in•i!:Pr t,r')k a•
:Ji-:,+:-),:i+::,;.•),:ii H•* 24 t t••I...!1,.1R NOTICE REQUIRED *3F ii•?t•)?•ai•:>t-*::+r•)};
*****K*** 456-3604 :$:"i•)i,•!,i 3,i•)t•1+r'Pi•),t•)+i
..........................................
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SPECIAL CONDITION CHECKLIST
Project
Address: __._-- —_-- ---____-- Project#____.___._ — –_.-- -Use:_w
Dept: Date: Condition: Init: Appr:
(in) (out)
_
Dept.of Bldgs. — — — — — ._ --- —
____--_-____—__-__ _ —_- Special Insp.Final Report
- — — Hydrant( ) — — -
_ _. Lock Box
Engineer's _____. _ — RID/CRP -
----- --- -------- — Easements_ — —_ ---_-- _---•--- --__-----
-- Road Plans/Improvements •
r _
--- Bonds
-------------
Planning _ Bonds
•
•
Utilities ___ Double Plumbing_
U L I D —_
Other_._
•
•
•
•
' THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE,OF•OCCUPANCYONLY
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:_ ________