1991, 02-21 Permit: 90006763 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
PROjEOT NUMBER= 90006763 PERMIT DATE= 02/21 /9i PAGE= 0i
3y .: . nnasr .. 1 . 939H af } : 9N4iy PERMIT . :ptY" . t # tfh9 * '! up =
1pP [ j? 2kiJii*J : Jih
SITE ET1:cEET= 12i09 F 25TH AVE PAHUI7.L4=
ADDRESS= SPOKANE WA 99206
•
PERMIT — SEWER CONNECTION
PLATZ= 002392 PLAT NAME= SKYVIEW. ACRES ADD
AREA= 00000000 i. t t•i fi X i i 4
li 4t .•i'. SI:i,'{'.. DWELLINGS=} .. . WATER,.. .,.t. .:..– STREET= 12109 E. 25TH .. -
OWNER= WALKER : C J PHONE—
AVE
... •'s i_:'i C`J t"i M i::,;; TERRY ••. • i,t i»•:..;.i."�7 .. 6760
BUILDING
. FRONT= NA LEFT= NA RIGHT= NA REAR= NA
': {.r,;.:!;•.:,t.:,�:?,•..ir ! ! t! ..{.a{.a;..5y.:sr:,�.:!;..,$i4r }i to i!4:•ik it:sR• ;e s, :. *:$•Hi'.i.* -F,•.,:-********************
CONTRACTOR= TLC CONSTRUCTION PHONE= 'Y.:)9 927 A7,'..0
STREET= 13316 F 1.2TH AVE
ITEM DESCRIPTICN - - QUANTITY .
.....�.. is
SEWER CONNECTION 40 , 0,f)
..:..:...:..........n.....,,..a..,.....:.....,..,..v..:v.. ..,..,......;;..!}..;,.1:. v .y.:-ry.:j. PA'(MENT :•::.UMMARY
.. ...:it•ji•.tj•;!,�;tt:';f:':t:'P::tt.ii..ii:i. .:':ry::!5: l'..'.:tl.:r :'t.;,(.:4}::i;.
PAYMENT DATE RECETPT4 PAYMENT AmOUNT
t ty TYPE ;..:..i.. , :;T.... AMOUNT PAID AMOUNT
OWING
SEWER PERMIT 00 ,
PRINTED PY v .
SG pEt i tJ i...AY—BUILT INFORMATION .,. ;1 .. .. ..._. COUNTY
111
DE FrA TMENT
f.... ONTRAOTOR OR APPLICANT TS
EIFLD
,
LOCATE
ELEVATION A,':i YS POSITION SEWER PRIOR ..
EXCAVATION
TO LOCATE •:.i.E::.isi;,f..t,: PIPING, :u A T} �'�.'." i ,;�'� .•
+
CALL BEFORE ' _ _ DIG 56,--8000)-- .
SEWER STUBS ARE TO BE CHECKED PRIOR
ti
CONNECTION TO INEURE
THAT s i"'t i.:.. ARE—CLEAR' r F�tt�}} +�!s ! i
:;
*µ L$ : .JHI ) Jg }) r; q : Vs : :r: R ;) *.*:i@JTHANK rry_JiJast.# i7J *a. SR} i .R } *Ji . nI : . .
SPECIAL CONDITION CHECKLIST
Project
Address: _________ ._ Project#____ ____—_._ 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 0/0 issued:__.--_____ _ _ ----. Certificate of Occupancy issued: —_____._ ____._
Office file review by: ___--------_--_—_ Date:
_
Filed insp 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:_________------ --------------- __