1991, 12-11 Permit: 91008558 Sewer SPOKANE 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 t rovisions of any stet r local law regulating construction,or as a warranty of conformance with the provisions,of any state or local
laws regulating construction.
SIGNATURE OF _ APPECATION/2///OWNER OR AGENT (
PROJECT N :::Br•.E,.., 9100553: ISSUED DATE= . ..... PAGE= ... .
PERMIT
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(•'i}.:?.?#'4 i::.t• .... `=d#::.ft A#J f4 t f::. WA 99037
PERMIT '#t':?::.:::: :::1::.:xi;::.i"•. CONNECTION `!7 1::.t•+°4`#C 1".i"•S I .`i ... ... ... .
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PLATO= 00274@
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LAT NAME= VERA .
BLOCK- LOT= ``f?;�?h- .. ;.:;#..,. .... DIST4=! '
.40
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.,,. i, BLDGS= 'f?' ..:Vii.#i...l...l....l.. .... .. WATER :•t
STREET= 11815 E PROGREES RD
ADDRESS= 'd#::.i''.(-#.Ui•j l._" A 99037
CONTACT NAME= PIRELLO BRUnAERS PHONE NUMBER= 509 6 3947
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BUILDING , FRONT= N/A
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BROTHERE PHONE= 509 926 3947
STREET= 4329 E EVERGREEN RD
ADDRESS= .`i::..•.i'i{i-j1.5t...F WA 99037-0000
ITEM DESCRIPTION#I'; ,
SEWER CONNECTION 40,00
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PERMITPAYMENT DATE RECEIPT4 PAYMENT AMOUNT
.12/11 / 93O1 50 . 00
TOTAL DUE= , 00 TOTAL PAID= 50 ,00
P ER:MIT TY AMuuNi AMOUNT PAID AMOUNT OWING
SEWER 50 , 00 50 ,00 f:.`i i
50.00 50 . 00 , 00
PROCESSED BY : DOMITROVICH , ROBIN
PRINTED BY : DOMITROVICH ROBIN
EEWER , ...
AS
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:
# INFORMATION TS AVAILABLE
DEPARTMENTUTILITIES ( 456-3604)
CONTRAC—OR OR APPLICANT TS TO FIELD LOCATE AND CONFIRm THE
ELEVATION AND POEITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINEE, FCT ,
CALL BEFORE YOU DIG ( 45000)
SEWER STUBS ARE !
O BE CHECKED PRIOR TO CONNECTION To INSURERUCTED
THAT : PRIOR ,3 )1 ) 31:'.:'1+::!!:'Jj:
TO THE SEwER MAIN
.... :. ...,..
?#
INSPECTION
+}. .1?.;t;•}?:.:1!i 24 HOUR NOTICE REQUIRED
456-3604 *:k*****:***
!f:: 1:ji : : iy ;: ; ; 1 1 I{-} : i : ) . THANK . i
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SPECIAL CONDITION CHECKLIST
•
Project
Address: _ Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
-- — Special Insp.Final Report
Hydrant( ) _
Lock Box
•
Engineer's _ _ RID/CRP
Easements
Road Plans/Improvements ••
Bonds
•
•
Planning _ _ Bonds
Utilities Double Plumbing •
— ULID
•
•
•
Other
"************************ ***THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY******************************
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: