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1990, 10-23 Permit: 90005591 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 (509)456-3675 /certify that/have examined this»mm/uanvnoanon state that° homm,muuoovonmmoumnsubmitted agent nnu�pn/.ouois ontmo and correct, and authorize Spokane Countym permit/application, In additionI have reaand 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 t.'-permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel th9_pkovisio -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.„.---- /444 SIGNATURE OF ', ' A .PPLICATION <-7---- \--L.,-z. C..\---a I _ &HI /2398 y� E= 0^ PROJE�I �d�BE = �OOO559i ' `` ' I3% ERMIT , ` � � ^ ' ^ RES= Z ~KAE ' S �92C� F ` � ..^ . � --- 001854 P\ �- ��= .-.�,n��|�»IY pi �T 3 - - � L;-` ZONE= TF� D` - -- = E BLOCK= r � - WTDT�� 3�� -D�Pr�� f6A- R/W= O8OO �' � F. ... ...... ................. ... ... . . ...r �i.:ELi I��,�= i ' -- - ( flWNER=- KLEIN . ND R� � -ADDRES%~ -%F�)KANE� T;A- 992O6' ` ' r __ _ ._ - __ -- -- | CON: ' PHONE NU 5O9 53� � �� ` E= -KLEIN- --- ' -- - - - NUMBER= ' ' � ACK`-~`` _NA� - 'LEFT=-WA-- �RI�;HT='��. ! REA}�` NA ` -~~^~~ ----- � � - _ - *K*K.L��**�* **�***** *** SEW�P- P�RHf�_ ******�***** ****************** -- '` ' ^---' i --' -`-- - - - - � -- - PMON8= - ' - - - C 0 - - - - �� ' _ - _ - - - • | -- ' - -- PTJ8N Q�ANTIIY FEE AMOUNT ZT�� DE�CRIPJJ� � - _ ( ' ~'^ ___ -_ �� ---------- _-' ------- ^ - i ' --- - ---- — - ' - --`y � -,~' ` � � � � ' ' ^ -- --SE E� CONNECTION-----' -- ` - -- - . | - . ' ( ' �,.�',` ^ �'� � ___-- -__ � _- -_- � �_PAYMENT %��M�I{Y ****�*********** ******* *** *******�****��*K*********x***K � / ^ - , - PAYMEN� BATE --- �-cC [PT.� - PAYMENT AMOUN / t0/23/9O -- --?�6O� •� 50 , 00 _ _ --,_'--- - _ ��= �|~ -L� PAID= - - ---' -- AMOUNT �Wl�� ERMIT Typc�- ��E �AMOUN'[' __ AMOUNT 'PAID ___ ----��---�� ------ ------ --- --------- ---------- 5O ,;'..s.:,‘„) C� 5O . 00 ^ __�__ ~. ------------ ---�-r-- 5e '00 50` 00 <)O **�**** ** *******************» ************�****** ******** � - -----'''� �'''�� -- DEH ' BUILD NC �' � SITE NOTE : TOPIC = i� = _� � �_ *�***�*****�***�********* �� *** **************************w*** * - _-- - , _ � ' ' ' - -- ---' --' - - \ ` ' %I-E l��L �� NO -00--- ��D :-- : - - ' � '~~~ °^^~ '-`---` - i -- . - - • ��CEr%��Eo BY : JUL-+ %H Th '- - - - - - - - RIT:D BY : JULIE %HATTO SEWER STUB A%-BUILT INFORMATION I% AyAILABLE AT THE C36wTy - _ UTILITIES-[,EPAGTMENT -<456-36&4l-� - _ _ . . . ' '� � ��m, ^*"�^�� ' ` - R i�F��L C#� ��`' `` �, � ` � i C' PO%I�ION ,~�^ -STUB PRIOR TO �ANY �uu`�R , EXCAVATION t. , � •� ` ,� '�//��/�� ^_ _�_ __ _ _ _` _ - r � � � '�' `" ; `--' TO LOCATE- ~URIFD 'PTP] N(�,- WATER LINE%� ECT^, ,'` ' ' 2. CALI_��BEFT RE�-Y�l DI[� (456-80C' su'� _ � _ _�_ _ __ _ � ,. - -------- �� E TION TO IN% 'RE JEWER %TUB A O B 1u `-�� . ' ,' , '`^ THE- SEWER ��I7T ~^�-' �- �� R T�� THAT THEY [ � «o r//� �°"` ''-^'` � ' '` PR�OR- °~~ COVE�� **********- _ _ _ ****�x��*� �w��' ��u� ��re� REQUIRED ****�***�* ` ` ********� �* HOUR NOTICE � ****�* *�* ' ' ' ********* . �56-3�v* *, . �«��*» ********h**«-************** THANK YOU ********************** )..:: : ::*** ** — — • 0 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 _ *******************************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:. W 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: JOB ADDRESS: 9.5 /400 (i �rI SUBDIVISION: / ( 1 + ( WD LOT: BLOCK: OWNER: \/ PHONE: S 3 ! Y792- ADDRESS: 792-ADDRESS: CONTRACTOR: 427-e---7,_7 /4--2:-/14/ PHONE: ADDRESS: LICENSE #: INSPECTION DATE: TYPE OF OCCUPANCY: /24,-.°-"/- 7:4 L S