1991, 06-11 Permit: 91001724 Sewer 411.
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
:,:.::; ..
STREET= 2424 S
— -ADDRFfS= SPOKANE WA
SEE NOTE
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AREA,. 00000000
-04WER= PHILLIPS-, HELEN
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•r.: •r: c.,.N:.. SETBACKS : FRONT NA .. .. .
ii. }.ft..°.'}.,.P 'fit'_'}!:!._}. ::..}k ti t+ 'F+i: ++ }+ .1.32 1?!:•9+:A:1+. tEEWER ..... . ,.... . . .. .. . . .. . 1...�.}.:. .0.. ..:. 3
11E3.17 E !Ai Y
SEWER CONNECTION
c-..R .,::46.K.F,:.F.:F.**-KK.F 0:x..!,:it..t P:fi'Fi'ri'%+i+C:+il+i12"?2"!+i PAYMENT 'H4 ;3 ' i . } . , :�. j ? .t .jy ;} 4i ( ij: j2j: i '.
f.YiviENT tii.
AMOUNT AMOUNT i} AMOUNT
f
P17(1,NTED BY : JULIE r
_ . : J } STUB A: . . INFORMATION
t . AVAILABLE
f . COUNTY
HTILITTES .
ATMENT —3604)
1
SEWER1r CONNECTION
THAT—THEY Ai'(- . r ai i 'HH4
44
ti _t t THESEWER' MAIN'AIN
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit: App,:
(in) (out)
) i
Dept.of Bldgs / | '
' -- Spenia| |nap 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~^^^^~^~~~``~~~^~^`^`~^~
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 inopfinu|aU by: . Date:
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor-plans desmyou: