1990, 10-02 Permit: 90005078 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
f�
OWNER OR GENT �/f���P"s ( DATE APPLICATION 42. _
:, i_.i:.1 I:.L: 1 NUMBER= 9it;)o :; i e DATE= •10/t.:2 `'0 PAGE= '?
; . .t-tt : ?7 ? fi f:9ftF 9.?.':.,{.:•.1,..t 9B 4 J .t 9 * PERMIT rNFOR' qTIry .y.ti „i ?i ii ii itai iA.
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SITE , ' ,1,..t I .... 11006 ? 26TH AVE ''s:`}i;,,i: 28543-3518
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ADDRESS= ,`•',''t..!?�f•�?!'t?::. WA 99206
PERMIT USE= SEWER CONNECTION FOR. :;?::.`.Ii.?::.Ni..:!::. PER .;.±.M L..E#,•,la
PLAT4= . 0I , .: I_AT NAME... Kc)KOMO :TOW E:F i is
,(•d•_. fa:::: ,•f::::: i 7 t,IJ 97 DEPTH= rt ,;i?;) .• /i;j
OWNER= !S.?...?`?}:..L.'i , MAX PHONE= 50992a _. ..i::r
STREET= } ! 006 E 26TH AVE
.;;•,
ADDRESS= SPOKANE ANE:. Wi`•'f 99206
CONTACT
NAME=. - i :xVr "E ' 'I
't : NUMBER= . 'c 928 ! K ;
B ' DING :.TBACK ; FRONT= NA LEFT= N' RIGHT= f " REAR= NA
Mi:********** *** **** *** SEWER "E <f . t J P: PPF }*Vi *? KA94 4 f pn..-•.{t.:'.fit.:t * k P ?PPP9
CONTRACTOR= OWNER PHONE=
AMOUNTITEM DESCRIPTION QUANTITY FEE
PROCESSING s;:;?:NG F•EF:: 10 .00
SEWER CONNECTION i 40.00
: . t , . . .. t P 4 i : t , AAA, PA A A: . ttA A A fi . " ! SUMMARY
..A..J.1.....t.A A.{P.Ar 9i J. P.Ai•A.J.J.J.J.A.. ....t.t.
PAYMENT DiTE 10EIIiPAYMENT AMOUNT
-10/02/90 6074 50,00
TOTAL t At )..tt.tE:::: :.?a0 TOTAL t A#... PA.t.D= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50
—„ -
7 -
PROCESSED BY : _ ; N LARSON ARSON
PRINTED BY : JOHN LARSON
SEWER STUB t.::f A__ ....BUa.#... 1 .Ni.'!..tRMA I .I.ON IS AVAILABLE AT .!H±::. COUNTY
t.) I `:,...:..;...r': DEPARTMENT (456-3604)5
APPLICANT I..:A . THE
CONTRACTOR _..�'{. •. ##�. i .#.:`: I (.} FIELD LOCATE AND CONFIRM ± ±••{
ELEVATION AND POSITION OF t,#::.WJd#::.#•t. STUB t. B I.:hi.#.'t,i?_: TO ANY Y I i I #•.±1-R
EXCAVATION
LOCATE tJi # I ? CABLES, tx f••i S PIPING, WATER LINES, ECT.
CALL BEFORE DIG ( 456-8000)
r
SEWER STUBS s•t ;• , t# #•., CHECKED PRIORPRIOR ?..,.
'i CONNECTION TO' INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED E•�Tj t: THESEWERi, f�.3.1•i. .
ii•ii ii•k•A•ii ii•A ii• CALL FOR R .I: •1:'>I»'F»f::..I7%iN PRIOR TO COVER ii ii ii P:ii•k•a;•k•i,:•F
r: f r tr r: _iHOUR NOTICE : _Q tRF ) ? i ; a*p71*)
; iiiii 'i � ; " " t1
**KK******
: :.t. : n : :,.t :.?::.:.{::.A t :.,:..: A :F ;: H ; j:.{j.. j (: : A jTHANK Y )tj .: j1Ja : F M. 7 :ijjdja : ?K:11Ftr:tttqU•l.f..
i
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: _______ ._______