1990, 09-21 Permit: 90004340 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
PROJECT NUMBER= - :. „ : ” t to -: 09/21 /20 P Gt = "
,
nx) 7c ns r ri** t n iik t E i3 *r* t iiiaPERMIT C ~ Et ?Mnif [ v nrr> x*i ****ia P***
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.. . . . : :,. " = 12909 . 22ND AVE EI 27542-1812
ADDRESS= SPOKANE WA 99216
PERMIT lSE = SE:,-:=
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f'f...A i' :-:: 001846 PLAT NAME:= OPPORTUNITY iNI"I Y T ::RRACE 4TH ADD
BLOCK= 5 LOT= :# ZONE= AGSUB f:f: ''•T'rt:::: F.:
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 140 R/W= 50
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1!' {” }^{f...�!t.!4t.«: „: DWELLINGS= {
OWNER= FISH, K ,
F H, < : r : PHONE=
STREET= •12 '0: _ :24_
AVE
ADDRESS= SPC , iNf WA 99216
CONTACT itME : : : ffif - 1 ' f : ENST a PHONE NUMBER= 509 924 y
= 5
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= 7tFEAR:
NA
: ;} PPnnnnnr nPu ; tue h s xnnPr nrhs SEWER "Et." f • 9PNiPRmM k PPiPPiPPt PPRPPPunnr
CONTRACTOR= CC }r : - YaNECONSTRUCTION PHONE= 509 924 5485
STREET= : 6402
E:: t:F•Yl...L..E Y'ifI't:
ADDRESS= t1 E R t i i i A!f...f::: WA 99037
ITEM !?E:.SC:i'{!.i" Ir.(.?rai QUANTITY P'!::.!::. AMOUNT
PROCESSING FEE :,t: 10, 00
SEWER CONNECTION i 40 ,00
****K************************** PAYMENT I{SM ci f:i°''j •A•P'*it''}t'•}k*h:''P:9k.k•P:•P:R:fl..7{..P:'P:'P:'N:•P:A'.11.!t..P:.,1.R.,h
PAYMENT DATE RECEIPT-4 PAYMENT t'aMi _iN..i.
09/21 /90 5733
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TOTAL i t•at... 1.?...JE :::: „00 TOTAL i A1... f='t- ! .
PERMIT fYECF. f AMOUNT AMNT PAID AM :UNi OWING
SEWER PERMIT 50 ,00 50 ,00 AO
,::i.: 0.i 50,.!;•) ,00
PROCESSED BY : JOHN f...f=YR41!_N
PRINTED r::.o (;iY : ._iilL.:FE: SHATTO
SEWER STUB A ;' t•.1.1.f.f... iINFORMATION IS AVAILABLE AT "t'f...'... COUNTY
UTILITIES DE AR. t #"#l::N ! ::•—
3604)
CONTRACTOR
_ •f : _ CEi , i "„ ! . : =r " : TO FIELD 3Ot ,TE `? iCONFIRM
i „ i ;
i (
ELEVATION AND 'i ,: a _. _ d OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO i i...tJ1.:('-ii `:. BURIED CABLES , i:•r A:.'.- PIPING , WATER LINES, ECT ,
CALL , f - R: Y itD # . (456-8000)
SEWER STUBS ARE•• -i C.i BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT 1Y-f!::.Y E•Y!•'•:C:.
:!._-t : tJ; UNOBSTRUCTED
itCS i t S iE3TO T FSEWER
i ;
MAIN
, 1nnPnkriA : f3 - ! iEINSPECTION PRIOR TO : : !1i RP } P
A} PRP*
jy } idiir11 ; NOTICE "t : } ! " - 7 Ei **it *j *:
. } Y:KP .f (* * . 56-3 6 6
4 i4•:Pr:2'ini'R'H}it 3 3 3*
**************K***************** THANK Y t„i t„t IS'JF P•*j,.*•jf.}!..n.'1t'*•P::if.}j..ij*.t,.J>"tC':ft )?'**:i!•:P."i?' '** !•:k•;il;
SPECIAL C N ITI N CHECKLIST
Project
Address: Project#--.___-- --------__Use,_ _____
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp,Final Report -- __--
__. _. _-____._.________ _ Hydrant( ) ______--______.
Lock Box
Engineer's RID/CRP .__
-- v EasementsRoad Plans/Improvements---- _--
--- Bonds __--
Planning__ -._..__.___ __ Bonds--- :
Utilities---_ .----___-- Double Plumbing ^—.---
U L I D -- — — -----
Other.. — — .
•
•
`. TFIISSPACE FOR COMMERCIAL,PLANSTRACKING,CERTLFI.CATEOF.OCCUPANCYONLY<,_>.,...,...x...*_.at....3..>.
Date received-for-C/0 processing; plaps,pulted for final processing:
Temporary 0/0 issued:'_-=_ ___ - • Certbficate.of Occupancy issued --- --- ----____ ---------__
Office file review by. Date
Filed insp finaled by:
Ninety days after 010 issuance:
Owner/contractor called regarding the return of plans: ___ -- _--. Date ___--
Plans returned: _-- — Received by: _
No response from owner/contractor-plans destroyed:----------_—_---