1991, 04-30 Permit App: 91002138 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 {`-7i{{"`iBE::.? = 91002138 APPLICATION DATE—.'-• 04:'/30;`9; PAGE= 01
•iiiiii'ii*ii THIS :!. NOT A PERMIT :i*( ii.*•ii7
PENALTIES WI? { B ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2317 E UNIVERSITY RD PARCEL4= 28542-3521
ADDRESS= SPOKANE WA 99206
:Lt t iT : : t — SEWERCONNECTION - NORTH
ORH yO ( rf
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AREA= 00000000 j- /i.{:::: I.. WIDTH= I t t::1•' 111 j t;/tat= 60
.l,. {-{i• {.�{ 1}{..S::: i 4DWELLINGS- WATER DIST ....
OWNER= PARKER PHONE=
STREET= 2317 S UNIVEREITY RD
ADDRESS= SPOKANE ANE WA 99206
CONTACT NA.'rlE.... ?•ii_ N SLi.IAI`! i..jN?::. NUMBER== 922 . 500
IN LT .. t•';•:i„% ::.. i 1..; LEFT= NA RIGHT= 1`4 f��a . .. ��'i�.•
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STREET=CONTRACTOR= ALWAYS ACTIVE PHONE= 509 922 8500
BOX 14156'2.
ADDRESS=ESS::: `P KANE WA 992i4
ITEM i !1ESI.:R.I.PI' It.ON QUANTITY FEE ¢'tj''ti,(Iltij..l.
.:�I::.iJr i::.?':�~ f,.:i„!!'vt`J �.` ..{.{.. 'f A}:'j:.::ji,'•i
I"E::. "•:
MIT j? pp TYPE {..{..{.. A j rj{,: t.i N j AMOUNT P A.l.�7 AMOUNT OWING
....EtAtc:.t:;...PERMIT
,:is FtM t - i15.j �if.j. l:f;.-�
[
50,00 .00 r.,l..i00
PRINTED. . ...... . . . ..ti!....
.1.l.., e.i::5'-i , :.!
,`E::.t ::.i';. ; { t..1 '.BU ? it». ','....,,IaiT .i•{ 4 IS AVAILABLE AT E COUNTY
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ARlmi-N1 (456— 6,J4
:.:O N i':f 2._ ?.L;'i"C OR•: F `t"e"t...:.t:.A a I 1E TO •:E.12!.-.i% {.l C A I t: A N i,'1CONFIRM THE..
ELEVATION f..;I`•?{.i I''t.i::,d. I .I.i.{i"d i-j E::" ::r E::.W 1::.t'=: �: I i.1?.:f• PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE E: Bt?RIED CABLES., GAS PIPING, WATER•Ee{'. v...!:NE r ECT,
CALL BEFORE YOU tt t I b''`6 ;:8.:: ` )
SEWER STUBS UBS ARE TO BE CHECKED PRIOR
J. Or
::NNI . :( N TEl
INSURE, 4R:
THAT TH? ` At : CLEAR AND UNOBSTRUCTED ? " THE SEWER MAIN
*r ( (* r. t* CALL FOR INSPECTION PRIOR T : COVER iiiiiL: iA3
: N) p* il924, HOUR NOTICE REQUIRED ? YiyiljiiR
r :Jt4i .: 456-7.5e.
04 *****K****
:•.:•. :-.1.}-.tt t,f-.rt,•.Ji J•.3-.J,!4 rt 14 Si Pi 1i 7i§'i•1`i ,:Ti'tii'1'i•)i 1i•!L* THANK you u 7t•!4'9§:i::f':9h*J.}.t...,t:t_...t`.P.......7.......J`.,'.}. ..J,7. ..1. N.
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: 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: