1990, 12-04 Permit: 90006025 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 —
NUMBLH= Y0006025 DATE= 12/04/90 pAcE= 01
ISSUED PERMIT .
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. ADDRESS= SPOKANE WA 99206
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PHILLIPS :
• - ADDRESS= SPOKANE WA 99206
CONTACT NAME=
.,.;,,. PHONE •v 922
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PHONE= 509 922 e500
STREET= PO BOX 141562
ADDRESS= SPOKANE . WA 99214
ITEM -DESO'RT:::TION QUANTITY
10-00
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PAYMENT DATE RECETPT4 PAYMENT AMOHNT
12/04/90 7707 50 „00
PAID-"
PERMIT ..i..,,L.:i:: .. r,.._. .. u..r. AMOUNT
• : A" AMOUNT j
50 , 00 50,00
::r}::.i^i :.E"•. STUB AS-BUILT INFORMATION ...... AVAILABLE AT THE ... ... ._;`.J...
- - UTILITIES' DEPARTMENT -(456-36-04)
CONTRACTOR OR APPLICANT IS .E•+.} FIELD O .t !••Y N... ...:l,i N'• i }"i THE
',-7:77TTON OF SEWER STUB FRTOR TO ANY OTHER
.. _ : O LOCATE 'BURIED 7 CABLEE.,' LAS. PIPING, - .:;r..,. _.._ . !..!.Iv4:::., C .
-8000)
SEWER t. + ARE}" i J DE -CHECKED CONNECTION T N .. i s E:
INSPECTION i I ,i '•} -COVER •J+ ?Eit•••r'yz.a;,Vii,. .A.1±.
*******:k* : HOUR
."\'.'"• .}i.."' ...i. t : ,jt.y..�:.;r j:. .* **.J;.
456-3604
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) <out)
Dept.of Bldgs ! ! �
` {
Spooia| |nop Final Report
--.
Hydrant( )
Lock Box
Engineer's RID/CRP
Easements
Road
Bonds
Planning _-' -- Bonds
-_
. /
--�
Utilities Double! DquWePlumbing
ULID
^ --
` — —
Other
} --
_- '
-- '
~~~^~_^````^`~"^~`^^^~~~~`THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE DpOCCUPANCY ONLY^~~^~~~^^~~~^^~``~^^^^~~`
Date recetved for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office fi review by: . Dote:
Filed inspUnoledby: Date:
Ninety days after C/O issuance:
r called regarding the return of plans . Date.
Plans returned: _- . Received by:
No response from plans destroyed.
REF: Sewer Connection Permit Application
DATE PROPERTY 'ADDRESS FEE
11/08/90 East 11321 40th Ave - 90006025 $ 50. 00
East 13220 22nd Ave - 90006024 50. 00
East 11405 40th Ave - 90006030 50.00
East 11115 19th Ave - 90006023 50.00
Amount due and payable $ 200. 00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to November 18, 1990. Failure to remit
this amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703