1990, 12-03 Permit App: 90006531 SewerslOr
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
ti
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 DATE
APPLICATION
- i::f .fl:.?':.t.: ?- NUmW= 90()0653i
DATE= 42/03'90 AGE =:: (:)
ISSUED 07P"
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ADD
PERMIT
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BLOCK=
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BLDGE-
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DWELLINGS -
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STREET- POB •1 �f!;f::i'
ADDRESS= =:: :">I•'i:: ; A JE WA 99214
j•v ? Ai.. i NAME= - •i:.'i SMITH
rt ; E j ! t J ! N G SETBACKS: ?
PHONE= 509 922 0702
PHONE NUMBER= 509 '922 07c:-.12
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CONTRACTOR
• STREET=
ADT)RE5
PR 02*
x 14004-
WA -99214
IJANT
PHONE= 509 922 0702
FEE AmOUNT
40,00
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?•i t::. i.. ?::. r t'? .,t: PAYMENT AMi.Jt; ;
7689- 50,00
.00 TOTAL PAID- 50,00
PERMIT-
E'MIw- "trr..FEE AMOUNT AMOUNT I''t.'•?.:... AMOUNT OwTNG
PAYMENT DA..`E
12/03/90
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EE:WER PERMIT
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50.00
50.00
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SEWER S t Uts :Es --B1 i f L. I . .?.;3I::OlRi'?A i J. i_}?'•1 ._... AVAILABLT
UTILITIES 1Jt^.r'AR ? MEN ? (456--".-,04)
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SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use•
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date: Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
!nit:
(in)
Appr:
(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 0/0 issuance:
Owner/contractor called regarding the return of plans: Date.
Plans returned: Received by
No response from owner/contractor - plans destroyed.