1991, 05-23 Permit: 91002694 Sewer ConnectSPOKANE 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
OWNER OR AGENT
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APPLICATION C
DATE
. -.: , ,.. ; :PERMIT DATE= I PAGE= 01
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SITE STREET= :, r„ ,19 SBANNEN i..:
AaD ) `E:S .. •• . ,,..PAT—ALE W4 9903-7
PERMIT S :: SEWER C ON e - „ . . . .EVERGREEN POINJ 6TH
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PLAT NAME=
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f4TEE•INC PHONE= 509 922 0782
WA 99214
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CONTRACTOR=
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STREET= P 0 BOX
-ADDRESS= SPOKANE
WA
ITEM EM DE Li L :R.I.I• 1 .I ON
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SEWER PERMIT
HAWITS
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QUANTITY
PHONE= 509 922 0782
FEE AMOUNT
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PAYMENT DATE
E
05/23/91
TOTAL. , i i i.. =
PERMIT TYPE
SEWER PERMIT
CD
BY: WEN j
BY: JUL1
SEWER —
UTILITIES
RECEIPT4
3169
.00 TOTAL PAID=
FEE AMOUNT
..................... ...............................
I Li
AMOUNT PAID
............. ...............................
PAYMENT AMOUNT
AMOUNT OWING
.1).)
•14
r-: ,.: is I_: ?. i... I .i. I'•? i•' 1..? I•'; I "I ,ra I s.1.. IS AVAILABLE AT THE CDUNTY
}j1: :P Ail` 1 MEN.t (456-3604)
l..I.. t't T R.A(. :: (t11'x. OR APPLICANT
If.. :AN.T
,LEVATION AND POSITION t � ,:> I : :. { /,1 I ::. I• +.
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TO LOC'
CALL
SEWER
i
THAT .T H E Y
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f) i... i,, i i " :: A I i::. AND { -: f.! r a F .t. R: i'i THE
E
GAS PiPjNG, WATER LINES, ECT
,. : •::., ..; :
:E( 1; ,.. ?} PRIOR TO CONNECTION TO INSURE
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i i.? I'•1 x1B ,:> , (? •,:! i..- I- ,::. f, i TO THE I'. ,.> I::. W t::.1• °, MAIN
o:•.. +. s... i_:. 1 ±. i i I'J PR. TO S I..: I..: V 1:;. t 9k 'Jt• 4k •P: i4 '1k 4. 9;• 9t: 3k
7i T .I. Cl.-.-.. I'•. i:- t..i I i i. i''•. t::. T) :P: i;. j...Jt.:1 Pi .. K. i.
: 9 ? 5 ) 9 ; x : ) ri ri: r s } ) s 7: * * R ] * 3 a * THANK i r i
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Project
Address: Project #
SPECIAL CONDITION CHECKLIST
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date:
Condition:
8pecia||nup Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road
Bonds
Bonds
Double Plumbing
ULID
Appr:
(out)
~^~~~~~```~^`~~^~~~~~~~~^ THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ~~~`^^^`~~~~`~~^~~`~^``~~`
Date received for C/O processing: Plans pulled for final processng
Temporary C/O issued: Certificate of Occupancy issued
Omoofilemview by: � ' � '� Date:
Filed inmphnaledby: Date:
Ninety days after C/O ssuance:
Owner/contractor caled regarding the return of ptans: Date.
Plans returned: Received by'
No response from plans destroyed'