1990, 10-08 Permit: 90005196 Sewer 2401111r
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 correctand authorize Sokane County to proceed with processing. In umo I have read and understandm 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 canc e 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
)----Yveu210.?„:0 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90005i96 DATF= iO/ /9O PA = 8i
IJ%UFD PERMTT
**************************** PERMIT IK7 ATION
SITE %TREET= iO9ii E 2OTH A;E PAi:;.! 28542-42OS
ADRE%%= %POKANE WA 99206
PERT U%E= SEWER C [ : 0M0
*** %E NOTE ***
PLAT = OO2393 PLAT NAME= %KYVIEW ACREADD
BLOCK= LOT= ZONE= A�%UB DI%T�=
AREA= 00000000 F/A= F WID�� 9O DEPTH= i4O R/W= 6O
OF BLDG DWELLIN %=
OWNER= HAMBY, M - PHONE=
TREET= 20TH AVE
ADDRE%%= %pOKANE WA 992O6
CONTACT NAME= JR II CON%TROCTION PHONE NUMBER= 709 924 6O77
BUILDING SET BACKS : FRONT= NA LEFT= NA RI(;HT= NA REAR= NA
•X• •)1'.• %EWER PERMIT ******************************
CONT T 0 R.= I N%TRUCTION PHONE= 509 924 6077
%TREET= i0 504 E VALLEYWAY AVE
ADI)RE%%= %POKANE WA 99206
ITEM DE%CRIpTION QUAT FEE AM�||�T
------------------------ -------- -
---------
PROCE%%INLTFEE Y iO.00
WER CONNECTION i 4O.O�
******************************* PAYMENT %UMMARY ****************************
PAYMENT D�TE RECEIPPAYMENT AMOUNT
10/08/90 6i7i 50 .O0
------------
TOTAL DUE= .00 TOTAL PAID= 50.O0
PERMIT TYPE FEAMO; T PAID AMOUNT OWIN(:.;
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 .00
------------- ----------- -------------
50.O0 50 .00 .00
PROCE%%ED BYULIE %HATTO
SEWER %TUB A%-BUILT INFORMATION is AVAILABLE AT THE COUNTY
UTILITT7 7' DEPARTMENT ( 456-36O4)
CONTRACTOR OR APPLICANTI% TO FIELD LOCATE AND CONFIRM THE
ELEVATION ANO%ITE
D PION "- `EWR %TUOR
B PRITO ANY OTHER
EXCAVATIO�
TO OCAT- 7:!. ED CABLE , CA% PIF'ING , IA) TER
CBEFORE YOU-DIG (456-S0 0 )
%EWER %TUB% TO BE CHECKED PRIORT 0 CONNECTION TO IN.%UE
THAT THEY ARE CLEARrAND�UN[K�%TRUCTED T� -�E SEWER MAIN
********* CALL FOR ^N%PECTION PRIOR TO ��VFR
********* 24 HOUR N8TICE REQUIR
**.******* 456-36O4 ' **********
******************************** THANK YOU *********************************
^.
SPECIAL CONDITION CHECKLIST
Project
Address: ----_--_—_ ----__--_ �_--Project#_ _ __w._Use:
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_ __ ___ —_—_ . __ ____ ___—__-__-_...
Bonds—_. .__ — - ________
Planning._.__ .____- . Bonds
Utilities _._ Double Plumbing._
—____-- — U L I D_ — -- — -- —
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:
_ ate:-- --.____------------------_-_____-_____
Filed insp finaled by:________.______ _ Date:_ —.___.______.__._._ .
Ninety days after C/O issuance:
Ownerlcontractor called regarding the return of plans: ._______-___—__ ____.____ .__._____ ________.___-__. Date _________ ____.___ _______
Pians returned: _______ _ _ ___—.___ — Received by:
No response from owner/contractor-plans destroyed: —_- _________________