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1991, 03-13 Permit App: 91001037 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 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=BER:= 9. 00137 APPLICATION DATE= 03/13/91 PAGE= 01 *)'it#ii( THIS ,{:,'• NOT F i PERMIT lf••ri n•3i•it»• PENAI...T.I.I.:.!! WILJ_. BE ASSESSED FOR COMMENCING WOR4WITHOUT A PERMIT SITE STREET= 3305 RAYMOND RD PARCELO= 32541 -0606 ADDRESS= i•F'11I t''+NE:: WA ILIA99206 PERMIT t• i..i;>F:::- SEWER CONNECTION ltiJSOUTH **# SEE NOTE J! ' PLAT4= 000382 FIAT NAME= CHESTER HILLS ADD,. BLOCK= 6 LOT= 6 ZONE= SFR DIST4= AREA= 00000000 F/A= t.. WIDTH= i:'F::E•'T•. F:;;`. :::: OE.. t:{: yf DW} 1 t ;,...: WATER DIST OWNER::: {••ICO{...riE:S, KEITH PHONE= STREET=4 :::: 3,h!5 S RAYMOND {•+:D ADDRESS= SPOKANE WA 99206 CONTACT NAME:.:::: Rt.ii'tI_.{„tAN PHONE N{.if NUMBER= 509 922 Cia:)t: {.', C' BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR:::: NA : ii *rrnnNtNn :bhN ; tiiN ic*i *** k* SEWER . : PERMIT' . A*P*h l..hP .h.PN )P* t l: !P *Plt CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 ,•s::: } STREET= PO BOX 141562 ADDRESS=..SS= ''ifC J'- WA 99214 ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCESSING FEE F t. 10.00 SEWER CONNECTION 1 4i?:.00 PERMIT TYPE FEE AMOUNT AMOUNT I " : 1 OWING IiiE::R PERMIT '5.1..00 .:00 5o:00 PROCESSED BY : JULIE SII T O PRINTED BY : JULIE SHAT TC:t SEWER Fc `''T{•irf AS—BUILT INFORMATION IS AVAILABLE t:{I...I::. .+..I THE COUNTY UTILITIES i)EFtiR OMEN t (456-3604) CONTRACTOR OR A{.,F:'L..i:c::ANt IS TO FIELD LOCATE AND CONFIRM THEE{._E:vAT ION AND I:::O:i;>1:•'i':EO i I I{:- SEWER STUB PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLES , GAS PIPING , WATER I...:1.NE�: , ECT ,CALLI BEFORE iI: E `OU DIG 1 ('' a�..... 0:•'1 n •. SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TI.) INSURE THAT THEY ARE:. CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN ,c jt ii c)i•**u:1: CALL FOR INSPECTION PRIOR Ill COVER F.'. R•*****•h:•A** AA*1'**3t•at•3iii{.iR NOTICE REQUIRED E f.�._IIF�'E-D •• •�iri•* •***ir. ..''4 I..i •hi** ***•Pi•* 456•...3604 *P:A*•A•*'Pi3!i*•)!.' 1!••Jk•,i*9!'i!'9!•'N:i!:'X'?!'9 §r 1l•*i?•ii•ii-*•)?•it-N•li'ii 9C•tC it ii•9t h•*yl• THANK •t o I__i )t•4!•n)!•9k:!!•i!•9k•P.•*ih it yt it'N:R•!!•*•X•'}t)l'Il 3E P'')k)k'A:'')t'*:R•')L')t il' SPECIAL CONDITION CHECKLIST Project Address: Project#_ Use: Dept: Date: Condition: Init: Appr: (in) (out) Dept.of Bldgs. Special Insp.Final Report Hydrant( ) Lock Box Engineer's _ RID/GRP Easements Road Plans/3mp.rovements, • Bonds Planning Bonds Double Piv Utilities m.Iainm: ULID • Other `*"*******"********** * '•, Tki:I:S+SPACE FOR COMMERCIAL PLANS TRACKING,CP•RTIFICATEOFOCCUPANCY ONLY* """"'°""°'*'°"""°' Date received•for C/O rocessin. :. • Plans p g pulled.fior fiinatprocessirig. :.. _-- -�-- 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: f- M37 JOB ADDRESS: SUBDIVISION: LOT: BLOCK: OWNER: PHONE: ADDRESS: CONTRACTOR:V1)-VA �-� �} PHONE: ADDRESS: LICENSE #: INSPECTION DATE: TYPE OF OCCUPANCY: