1991, 06-26 Permit: 91003537 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(5094 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitteji by me wry 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 visions 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 / � - j
OWNER OR AGENt'--, �-) DATE
PROJECT NUMBER= 91003537
ISSUED PERMIT
DATE- 06/26/91
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PERMIT
BL
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4 OF BL
'R CONNECTION — MIDILOME 6TH ADDITION
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PLAT NAME= MIDILo
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ri
ATER DIST
PHANE= 509 924 9406
PHO I NUMBER= 509 924 9406
LEFT- NA RIGHT- ',)A REAR= NA
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ITEM DESCRIPTION
......................... .
00.1
509
is 9406
QUANTITY EFL AmoUNc
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PROC
PAYMENT DATE RECLIPT4
4140
tt..?#fii... DUE= +:0 TOTAL hAI_-
SEWER PERMIT
PAYMENT AMOUNT
50,00
F#iAMOUNT AMOUNT :AI? AMOUNT OWING
•
50,00 50.00
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BY:
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..I INFORM
------------
'A IS AVAILABLE AT THE COUNTY
nRE
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A #`'-t tj CONFIRM It1•:.;M t i'#is
TO ANY 11 # !"tEP
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EAE INSP' TO
UR
04
rONNFCTION TO INSURE
— SEWER MAIN
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SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Date:
Engineer's
Planning
Utilities
Other
Condition:
Project # Use.
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 C/O issuance:
Owner/contractor called regarding the return of plans: Date
Plans returned: Received by
No response from owner/contractor - plans destroyed: