1991, 06-11 Permit: 91001318 Sewer(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 perm it/appo,,..-.
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICt
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
ISSUED. PERMIT .PAC7,E (.7ri
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ADDRESS::; ;Pis is €`€1'4E WA
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AVE F:'AR,: ...::::.. 2e5; .# ::731 4
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ARE -{i::::
717 BLDGS=
OWNER=
STREET= ; , ;-; 4, #_•Y t=.#;
'-DDRi•'J.'},*:••• SPOKANE WA 99.206
PLAT -NAME= ,DWELL•r
ry
CONTACT NAME= E.»tt:.ONAR
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– CONSTRUCTION! 't'". E:..6::. T ' 1 # ,. 3 i ,.. i t t E... t... t... t rE AAVE
ADDRESS= -SPOKANE WA
, 992 "Y:F
:; DESCRIPTION.
t..•t.21 !UN
****k****************,*.********* PAYMENT .r t 3 # # i"! A t C, ty * :n: •N:• 1! ?l * :. A •N: A •R '1=: it: 'h.:* * A 'R• * A ?: -N:.":.'+: it::"::ry::"•
'PAYMENT -,:4T,-
00
06/i1/91 3502. ......
'.TOTAL DUE= _.k :t.. TOTAL.PAID....50.00
DEPTH= •, r.
– NUMBER= 1 'ii!MBr. #' 509 926 F964
-RIGHT= NA ? R . #. f l E';= NA–
*****
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PHONE= 926
'FEE AMOUNT
PAYMENT AMOnNT
q
PERMIT" TYPE
SEWER-
....'` .!iM.i. #...50,00
_...... AMOUNT
50.00
..
.—SEWER aTuB AS
AMOUNT PAID' AMOUNT DWI ?•i ;',
t•�Y ..J F..Y
50.00
.i. _ INFORMATION
rF3'iiT_id IAVAILABLE H:COUNTY
UTILITIES DEP MENT i:456 –7,604)
CONTRACTOR
ELEVATION f i
,::: •' .: r'?'!a' A'•[• ]: C N
APPLICANT
IS ]:F::E...{i
POSITION t'
TO E..00ATE'BURIED. CABLES, AS R'
_.ALE . S t Rr...•i t:?' 'r i t i�4,;r 41)",•,104 )
D T S,JC.t
'{MrMERSTt..t:Ets' €'2^#.:: TO.BE 'CHECKED PRIOR
THAT T =' E" :},+RAi-t;t;E.:.E= ASWAN •s#1EfFt TRt i;'."
».,i' ATF ANT) i':•tw -, M' H
.WATER:
....I. tit' Y' k .. .
Tn CONNECTION 7n 1.Nlig:17:
H x * * N*it ri * CALL FOR l . a �
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Aikttt; NP: 45.6.7-3604
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SPECIAL CONDITION -CHECKLIST
Project
Address: Project #
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Use.
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Planning Bonds
Utilities
Other
Double Plumbing
ULID
!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 C/O issuance:
Owner/contractor called regarding the return of plans: Date.
Plans returned: Received by.
No response from owner/contractor - plans destroyed'