1990, 12-03 Permit: 90006492 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 iss ance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th rovisions 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 /2 —3 —9,
OWNER OR AGENT [ DATE
1
ISSUED PERWIT
.... iv_:E M#. .?.N •i !'i.M i`?T.i.I..i r,i Vit')S* *'h•7...•!t'i+i t ***Jf'T'1t 7j.**j{.Vic.j:,*,ip*:!c*
tSITE STREL-: - i.:
OKANE
ADDRESS= SWA 99206
PERMIT USE= -SEWER _.:'t;,'tj'J vEi:: ........ ..........?"??: 5TH
PLATO= 004369 PLAT NAME= MIDILOME 5TH ADD
BLOCK= LOT= • i.''vi^'. SEP DIST-11—
•e' OF BLDGS= DWELLINGS= - t
i 'iiV:+. '. is +..• ? t.l_iid
509 724:
CONTACT NAME= ! i•1!'4 ::.i'%.i?fii't?... _ PHONE NUMBER= 509 924 6961
NAME= S
TAN
SETBACKS : FRONT=E lNA LEFT= 'NAxl"! i1`�!
::::;.::c::s:::.;::•,:::'.:',: '::,'.s:::::- '.:i.:'. '.: * `j:�w i,E•i' R t•.i **************§***************
t;:, :•.t; ?.x rt!t.x m. t;P.3!:L:+.tt x 4t•'Y:•1l•:i 3f•�t*at t.x'ix,.x
CONTRACTOR=
R : , T; STANLEY
STREET= i,: t_j BOX s 43 ;h
AT*7REEE- SPOKANE WA 99214
DEsCRIPTION QUANTITY 'FEE AMOUNT
PROCESSING ,. •? 10.00
SEWER CONNECTION
40 , 00
.:...,,..,..�..�..,..,.:�..:..........................l..,,..l+....�.q..y...:;..i,..,,.:,i.:;.:k.:1li i`:} .. .(':1 i•i'! .... .. `�'7l.j:.Pi i-i.};..p.:•. '.:t;..�.1•.:'. '.:,t..'p':
:,.+.!+. ,> ,;:; :, a t+.ti:;x 1. a.,. ,. .. P. t.:..... ......A 1 `(•r} i�: _. si.:.;:st .:t.:;!
12/03/90 76:71 50 ,00
PAID
_..
PERMIT- TYPE _. FEE AMOUNT _AMOUNT ..!,? '„�?•,4 1 s..�. OWING
SEWER PERMIT 50 . 00 50.00 00
MOO 50, 00
-SEWER -STUB AS—BUILT INFORMATION IE AVAILABLE AT H•- ...ti i`fT
UTILITIES DEPARTMENT (.456—3604)
CONTRACTOR OR i ' '
ti _ ...' IS .h 0 FIELD LOCATE j••#?'''!`. CONFIRM THE
ELEVATION ! Y% POSITION , SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
'..I. LOCATE BURIED s tiBs...{ ,. tk.Y,AP ... .. 4{+..rf ?. ?..a.±^?E:. ECT ,
CALL BEFORE
(456-0000)
{E tTHEY
?�.til ARE D CHECKED CONNECTION }� INSURE
?
THAT •i..I-i?:-•:? !.:s?;?::. CLEAR •r•::? UNOBSTRUCTED ��} i, ? SEWER MAIN
...:kk'R*i+:9t'3t:i+ CALL FOR .. PRIOR i-; COVER -*********:k
•4$ iR'1L''?>.•:i ti',. Vis; 456-3604 :tY f i+tt P:'x'9+:'?:'x''x''x'
.,,..tt. .;l.:v.:i+:'f::i. +.* f•. i. ,i.:,i.:,i.:ai.:,i.:li.*:}.:...... ..l+ you i .. ..'t+::+.,. );
1 *
SPECIAL CONDITION 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 _
Easements
Road Plans/Improvements
Bonds
Planning Bonds
Utilities — Double Plumbing
ULID
Other
I -
*******************************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: . Date:
Filed insp finaled by: . Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: .Date:
Plans returned: .Received by:
No response from owner/contractor-plans destroyed: