1991, 06-11 Permit: 91001730 Sewer 4111111111011.1.111.1111111.101, .=,
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
IEEUED PERMIT
PAGE- 01i
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EITE STREET- 2:318 E UNIVERSITY RD? t... ...Y
ADDRESS= SPOKANE WA 99206
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LEONARDOWNER= MOHLAND
CCNTACT NAME= s.y
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FEE AMOUNT
PROCESSING FEE
SEWER CONNECTION
**k*********************** **** Ei..!MMAPY
- PAYMENT DATE REOEIPT4 PAYMENT iy. ?. !, F. J.?.`.!'Yk ... ...;..jy,at.yj.:� �(. (:...syr r-'!ti•Yi•1Fi 3!i li"fti.
AMOUNT
'• a s. rPROC
SEWER PERMIT
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N.TED BY : JULIE 7
UTILITIEE DEPARTMENT -( 456-7604 )
CONTRACTOR OP APPL.::OANT TO FIELD LOCATE AND Cf7. 1.7717,:
EXCAVATION
TO LOCATE BURIED CABLES, -GAS PIPING , WATER LINES : FOT .
SEWER STUBS ARE TO BE CHECKED PR:1.0R TC CONNECTICN INsHRF
'i' i - e••!i:.. F !' i f.'. t.t..t t •iii.1 '.t 1 - .. ..
24 , HOUR k O .I,I i.
�-4' 11
SPECIAL CONDITION CHECKLIST
Project
Address: __ Project# Use:
Dept: Date: Condition: mit: Appr:
(in) (out)
Dept.of Bldgs,
Special nsp.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 OpOCCUPANCY ONLY```~~^``~^^~~^'~~~`````^
omo received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: .Certificate of Occupancy issued:
Office file review by: . oate:
Filed inapona|od 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: -_—_ ___ _ _------ --