1990, 10-02 Permit: 90004954 Sewer 111111
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 .mply 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 iss .nce.f this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th 77,„. . • :*r 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 AG i/i1'' DATE /7P:
ili
i
PROJECT
i :,....:T , bt 90004954 DATE=1-' !•}'. PAGE= O
ISSUED PERMIT '
**********K***************** I : ! : T INFORMATION ***N*) ***) 1 * ) ***) * ) l *)i*t9i
SITE TREET
15926
,...
Ss , t ,. 9.5:"•,:"
('7 1 J 3?i':i::.,:`.• .... 17?;;.t•{f t S,7 t•�!i...?::. ixf G�; : s..;h ,'
:^:-i+:r: :>t::.t::- NOTE 1+:)t••u•
PLAT4= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= AG J j S
AREA= 00000002 . /A—� (:i yi.!.::.. .-...�� "t "t '? DEPT.-:- ..
OF`-- B #fi 4 DWELLINGS= i
OWNER= R... ,,.;,...: , - 2-,,,J 765 .. t'i
t 1 PHONE.."' .:.414.!
I R 1'.i i :::: ;;'*i'::? i::. s.!' l:l,I,r="r v r! is:i'u`i::,
ADDRESS= '..::.)i_J i::.R f 1 i••i t...t.:.?"#e:'. ...;, 7483874
t.:E.%?':l , f.:i?.: SETBACKS :
N F t�"j z~.•-- t �•#;.J t t t Y!'- ENTERPRISES .t.?-•v i. PHONE NUMBER= (�i,: r,`, .. 8830
BUILDING ;y I:. ! EiA#_-:' S : 'r•ROt' T-:: 95 LEFT= :jo RIGHT= 217 REAR= 16
: i r*-**: : {*1 : *t ? i *) } ) it) in* c] HSEWER '? z " t1 f:*k***k) ) 1fiM !) ) i**: ) : {7ijj * h) J
CONTRACTOR= (Lit v ` :?N ENTERPRISES PHONE= 208 /• 4 0470
STREET= 206 INDIANA
'•7%}•"J
ADDRESS= COEUR
! 7rr
( ID 8381S3
:-E•.: DESCRIPTION
QUANTITY
- AMOUNT
PROCESSING FEE y 10.00
SEWER CONNECTION I 0• '.:i,,:' •
.-.
9t-9{ft a•3!-'Jt:�•9!•:�:•P:97 9t-:n;.}!•:tr:t,::}t•9t•Jt'7t 9i••J*9t-4?•9t'l:9Y)k•4t•pr)t• PAYMENT SUMMARY i+`i*i}f•it!r)t•j+i iti.p.*j;..q:jN.J,,jF..,:.jt..,..j..ei-.j.:7}.:,,.*f{..,t-.fi{..J,..it
PAYMENT JA ? E Rr ;E I r
; PAYMENT AMOUNT
4:J , +
10/02/90 .';t.:}%?: ...t" :�74:J
:T , r,, TOTAL PAID= 50.00
f..;t L..... .00
..
r?:.I. u:j: j. I p I„?:, # E E AMOUNT rMO tPAID AMOUNT OWING
SEWER i'`?::.Rt`'1.-s.,.j, S).t:'tt:i 50.00 1.3
0.00. 50.:4:0 .00
PROCESSED fry : JuHN LAR,�.ON
PRINTED BY : .JOHN --ARSON
• - STUB AS—BUILT is AVAILABLE A" THE COUNTY
UTILITIES DEPARTMENT •", 456-3604)
CONTRACTOR ,R APPLICANT t : TO
FIELD
I : _ f li ' ' E AND CONFIRM jIi
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
O ' ( : nI : D C BL . A S PIPING, x •ER LINES, ECT .
.
CALL s'7.:FORE YOU DIG (456—8000
SI:..t,;J?::.!, STUBS ARE TO BE CHECKED
PRIOR TO CONNECTION TO INSURE
• • = , ( -
T t ? ` _I _ r . ltD UNOBSTRUCTED i THE i ' MAIN
) ) pA) } 9 'yCALL i _ R jN=rriT # _ 1 PRIOR i COVER thktinnir r
.: i: ) t* c • HOUR : O _1REQUIRED i) ) ) ) : . 7ir
::
{ y :S49Jtti 4" ,% . 6Li *****K****
, i it i+i).,.i,,Jy.,h)i,ft 11.-k•i++i-}k•i++ (-
SPECIAL CONDITION CHECKLIST
Project
Address: _-_��-__— __-._ Project#_. -- __ .-----_—_-_.__Use.—_- .----__ _ __
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.01 Bldgs.
__.—.__ ____ —_—__ —_ Special Insp.Final Report
_________._________ --- Hydrant ( ) _ _-___._._._--
------ ____. — — Lock Box _ — —
-______ ---___ --
Engineer's______ _ ____ — RID/CRP
-------- -----_-____ -- ._-- Easements___-__ -----___ __ �___. _---___-_ --____—_ ___._
•
-___—___.____ _ Road Plans/Improvements --
-----. --- -- Bonds---___-- --. �__ —_-- ____ _______
Planning__ Bonds
Utilities w-- _.— __ 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 0/0 issued:._.__.____—______—________ _ —.Certificate of Occupancy issued:___.____._— __-_._________.___ _____
Office file review by: Date:___._. —____-._..____.—._.__.--__.__-_.------.______._._—.
Filedinsp finaled by: _____-_-____----__--------_-------______, Date:__---------_--_-------------------_.__.__----___—..
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: _____.___---__--- . Date _____ ______-_
Plans returned: _------ - -----_ ____ __ — — Received by: ____ __ -No response from owner/contractor plans destroyed: .--- --- —----- ----