1991, 06-06 Permit App: 91003024 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT - DATE
i
PROJECT NUMBER-ER .7 jAPPLICATION DATE= - ,..,
::}!: •?E•;Et• THIS IS NOT? ii: #'t': *K****
.. PENALTIES
.1LL BE »t FOR .'ti[ WORK WITHOUT - A PERMIT
•
SITE .,. 11T 2f20 .it..,.. 29541 -0514
, RD
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- - ADDRESS= SPOKANE-WA - 99206
_ PERMIT UEE SEWER :
ai..t,.li. SEE N 'C..,.*
PLATO= 000382 PLAT NAME= CHESTER MLLE ADD. -
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OWNER:- L :•,},.. 1 I_, i !'i-......s: PHONE= 509 926 .._
540
STREET:- .15227 E 4TH AVE
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1.a;1Ci t+.?..a.•::: VERADALE WA 99037
CONTACT •- : . 1ct - :. ± _ tA• ,
PHoW:. NUMBER= . .
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485
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PROCESEING 10 ,00
SEWER CONNECTION
PERMIT
SEWER PERmTT PER. 50 ,0o .. .. . .. i'o
, 00 50,00
PROCE,D BY': JULIE EHATTO
BY : JULIE SHATTO
SEWER STUB AS-BUILT r
:.,:MATTON TE AVAILABLE AT THE COUNTYUTILITIES
CONTRACTOR OR APPLICANT
P .ii # tii + TO FIELD LOCATE AVD
CONFIRM THP
ELEVATION AND POSITION
t ? eii ?tJ 4SEWER : : ` .
PRIOR i ? + ANY OTHER EXCAVATION
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TO A ; BURIED _ " !3j : r GAS PIPING, WATER iIN w - ECT,
CALL BEFORE YOU DIG (456-8000)
i #L:i STUBE, ARE t 6. BE CHECKED E t. E i E t TO CONNECTION
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t I .N TO r
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THAT THEY ARE CLEAR { EYTII ici • fYZTHE-SEWER t !
itC-R : k*h1 # F7i . . „S .: ' it . . COVER
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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/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: 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: