1991, 05-23 Permit App: 91002821 SewerSPOKANE COUNTY D: 'ITMENT OF BUILDINGS
W. 1303 BROi ..WAY 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
PROJECT NUMBER= 91002821
APPLICATION
DATE= 05/23/91 . i •`i:vj'.::. !;:j
******._THIS NOT. I' ' »i ****K*
• PENALTIES .ki ;. '... :... BE ASSESSED ..i #' +•. C;.i l;` #Fr. . : :. !'•i %.: `. I•'j !.:! WORK WI.' # ' # #..!'..i : !"` :' # ::. R m #
;_
F "' ARCHE
ADD— !.t #`,A#V#::. WA j' ,
PERMIT
OF
:i1fF
PARCEL:1= 20543-1316
-.. W #: R CONNECTION :c::: E1 # # ` A N MICA i... A .I. tt'• J • • '. i C ':: i °` i : i R : ' ic. i.-r :12
T:1= 011:3 ° i NAME= {..# ,::. #•t: i , +_t O D FOREST W ?> : N
ZONE= LOT= T6 _
•r
00000::100 1::';' {.`.t:::: - .A I».. • DEPTH—
WATER
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WNE
ii)TJ!'t'.i: :.
TTTENMAIER, PATRICK
E ARCHERY HER AVE
SPOKANE WA 99206
RON . OAN
DING SETBAC S: — 4T NA LEFT= NA
:!k * 1 ?• •fi:* 'F: •1 ?..p..)I at::f'::!!: -.'+: 9!: -it * * . fi.: 1l..ft.*.il.:1,:.j(..;!::1l: 3I :; -F: SEWER.
..E ;1 E .
CONTRACTi...: ALWAYS ACTIVE
STREET= PO BOX 141562
ADDRESS= SPOKANE WA 92i
ITEM DESCRIPTION
PROCESSING FEE
SEWER ... t..i ? ! r::. t..• . #. t..` "'_
E::.i:4E :F PEF:Ni.1.
FEE AMOUNT
............. ...............................
CONTRACTOR OR
ELEVATION AND
EXCAVATION
1U t
cA1..!
TE BURIED
PERMIT
PHONE-
NUMBE..= 509 922 a5oo
****K************************
PHONE= 509 922 8500
QUANTITY F. E. AMOUN
AMO:_.r#r! PAID AMOUNT OWING
.00 50.00
,00 50.00
ORMATION TS AVAILABLE AT THE COUNTY
inif.4T IS TO FIELD
AND INFIRM-THE
Y OTHER
GAS PIPING, WATER LINES, ECT,
OR#::. YOU r1 :c ?. 4..... ?6 .. tk:li:ic
_WL: is
THAT .. ;' i•i i
• 1'1
-, t..j #'Ci::. TO BE C!°I1: :.c: :!t!. :.D PRIOR
fF'tli:E 1... ::;li' AND 1I'JI I7:5:' !•i.. ? :.. #»
CPLL Fu INSPECTION I.-
luUR NOTICE RE
456-3604
TO C
ONNECTION TO INSURE
THE SEWER MAIN
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SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use
Dept: Date: Condition: !nit: Appr:
i I I (in) 1 (out)
Dept, of Bldgs.
Engineer's
Special Insp. Final Report
Hydrant ( )
Lock Box
RtD /CRP
Easements
Road Plans /Improvements
Bonds
Planning Bonds
Utilities
Other
Double Plumbing
ULID
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.