1991, 05-01 Permit: 91002153 SewerSPOKANE 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 perm it/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
: R _ , : : , NUMBER= fi1:iS'13 ISSUED -PERMIT
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PERMIT
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DATE-. 0
5/01/9 PAGE= 01
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PLAT NAME= EUNNYV ADDLIION
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OWNER= I,t:R E j.,j :ti L 1 • i � ._. ry ..I 1::. E .i. N C
STREET- .-:-.:•.,: 14004
ADDRESS= SPOKANE WA 992"
—ACT NAME:::::
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OCIATES
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ITEM DESCRIPTION
....................................
#::R'(::IC1:::S"1:i`1G FEE
SEWER CONNECTION
PHONE= '•.:J 9 922 .. . `.:? .,..
1-'t-1t.'Nr' NUMBER=
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kH!k { { N ! { ikit 1 * t !tNPX YNk ti!t 1 k k ^ y - ._ SUMMARY
PAYMENT DATE
05/01/91
TOTAL
O ALDU_:
PERMIT TYPE
SEWER PERMIT
PROOESEED
PRINTED
REO1:::.(1 I:„:
24 47
.00
EE:. AMOUNT
50..00
50.00
PHONE,- .::09 922 070
FEE A:'ji)j j i..F
.00
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TOTAL
1•T, PAID=
AMOUNT PAID
50,00
............................................
50,00
PAYMENT AMOUNT
50.00
50.00
AMOUNT OWING
00
..............................................- •-•
.00
1” i _t.1•t' R •( •..j i::. t.. t
: WtEN1JEL , GLORIA
SEWER S UB A t—B U 1 i.i.N tf9 . N- IE AVAILABLE
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U x :1:1...:1.1 .s.1::.:::• DEPARTMENT k456-3604)
APPLICANT
CONTRACTOR t i 4 t•
ELEVATION AND t t.j, ..'sION
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456-3604
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1
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date:
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 CIO 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: