1991, 11-27 Permit: 91005607 SewerSPOKANE 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
t.: ,.,:t.t t•':.i,; I NUMBER= 9i005607 ' ,.: t..? 1 PERMIT
PAGE= 01
9t: '!!• * .p:.1,. ,.t..J ?.**.j,. ?t. )t; '1t::x::t!' .1,..1t..)4...t.:a; -jtj •!k 'r: 'r: '1!• i . 1 ?• .?' , t..: R # ! T: -# .5. #'••? i' t. ? # {: m i•a # .!. #. # i'•7 ************K**************
;= 9605 E ARCHERY AVE
ADDRI: SPOKANE WA 99206
PLATO
BLOCK=
002367
00000000 •
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PARCELO= 2C)543-1132
?1 ''•H 1ArV MICA 'INTERCEPTOR t- x't
PLAT NAME= ;1 F F W E O D ° f F F E (WHISPERING : T.
I:° ,/ i::# : ::: F • WIDTH=
INGE= . -WATER DIET
(1. NE: F =:_ :: HACKNEY
STREET= '? t.i t4J :.i t'. 'ARCHERY AVE
ADDRESS= , ,S= •:tF'`i_iE<ri#NF:: WA 99 206
CONTACT NAME= RC)N
_CT SETBACKS: F
LEFT=
... i:' F i '=
i.r+ / i,J .
PHONE 8500
REAR= NA
NA RIGHT= NA
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ADDRESS=
ITEM
ALWAYS ,` Al.. : 1 .L k F:
PO 'BOX 141562
SPOKANE WA .... .
DESCRIPTION
r
. RCi- :E.i :•:. NC
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SEWER d rF.:TT
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•:*•H•ixi•)4*9i•*'P:*1 +:.. .. *• N.* -) ;• *Yti•JC**3 {•* *)k•Ai.:ryr•{ti ?^'Ft i MEN 2
PAYMENT N DATE
TOTAL DUE=
PERMIT TYPE
SEWER PERMIT
PROCESSED
PRINTED
FEE. AMOUNT
********K •P. •K r * itt. •P. t. * •4•'R• * :F •jt• . tx. r.:tt. -ji.:....:.I.
QUANTITY
PHONE= (' 922 8500
•F:'EF: A(1I.il.iNT
'1 tai ' 10
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TOTAL PAID=
AMOUNT ;' i:: A'
PAYMENT AMOUNT
AMOUNT OWING
Nc;
rj 0
BY: -_? t_? 1... I F.: S !-I r t! t 0
BY :• Dfi ITRfi1j It:: :H, ROBIN
SEWER STUB AS—BUILT .t.r'1E.•EtFt;MA i!'•!. .E.:`. AVAILABLE A..E THE COUNTY
UTILITIES DE3�r'!RIMEN! (456-360
CONTRACTOR . APPLICANT " ii - -., p D CONFIRM
THE
ELEVATION.AN.o POSITION ?_ SEWER STUB t TO ANY OTHER
EXCAVATION
TO LOCATE E E_ CABLES, ;....o.t } ' I I Nr ; WATER ER LINES, FCT.
_ALL BEFORE t„ .Ss
SEWER. t~Il::.R :: S t..t1:i: • r•YI'' E „ 4 O Y> CHECK 1 CONNECTION TO. 1
Z ?F E
THAT THEY ARE CLEAR AND . 'TtiU:TF TO THE SEWER MAIN
9r: * )+. * •r: a• §k •'t!• #• CALL FOR .E. N ,z #.' :... • -: , •, i_ra PRIOR TO COVER. : N: •'n. •ii * 'n"h:• -n:
t j r s Y a c x x - h ^ t - . N :T m ~ 1
REQUIRED
4 i;.!x J{ N:
l i!rk r!xx 4> 5 .3604
'te ''r: QF )!' 'Jt: '11 :tl: : =: 'r: it:
. :. a •.: '.: '. -t : t.: • : & - :: •.: ' r •.: -. • t . ;:..... ac.::. • ' •.:tr..}:..; :: ,-.:,;.:y.: }. * (.: •.: £- THANK.. y ! i I I * * j¢ •j(. ;¢ •j;; •j+.; •ii• * ;it; j'• * * * •Y. 'N' j _. }a. •P. 14'...... 1}, It * .. ik• iE i +.. N.:!.. *
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use
Dept:
Dept. of Bldgs.
Date: Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
Engineer's RID /CRP
Easements
Road Plans /Improvements
Bonds
Planning 1 1 Bonds
Utilities Double Plumbing
ULID
Other
!nit: Appr:
(in) (out)
* 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 COO issuance:
Owner /contractor called regarding the return of plans:: Date
Plans returned: Received by
No response from owner /contractor - plans destroyed.