1991, 05-02 Permit: 91001069 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
I
PROjECT NUMBER= i001069 _ ISSUED PERMIT DATE= 05/02/91 3 ,::• ... ' 01
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i - : sSEWER CONNECTION . SOUTH
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€ HEIGHTS.
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AREA= 00000000 F/A= F WIDTH= - DEPTH=
OWNER= LYNCH, G M - PHONE=
. ADDRESS= SPOKANE WA 99206
CONTACT NAME= RON SLOAN PHONE NUMBER= 509 922- M500
BUILDING SETBACKE FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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CONTRACTOR= ALWAYS} ,.: ¢:Et.: ! .} 1+1... PHONE=int?i::.= ':?'3'
, STREET= PO BOX 141562
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. ITEM DESCRIPTION ?;:,t;•'31•JI ... . . . .. F AMOUNT
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N I 40.00
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PAYMENT N DATE _•':':-^ T} .:.
PAYMENT AMOUNT
. 05/02/91 252e 50, 00
•
PERMIT TYPE't"E i"I:..E AMOUNT AMOUNT; ''f I (IN" OWINGEEW
•
50 ,00
50,00 .00
PRINTED BY.: JULIE SHATTO
....... STUB:v. :. :•: ..
= CONTRACTOR OR: r$(''.:i....1.}..:}•-,,a I IS} ° FIELD LOCATE...:i�: I (-1 N J CONFIRM THE
ELEVATION AND POSITION ..: ...EWER ... . .l i.°!..PRIOR ... OTHER
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, EXCAVATION
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PRIOR
_ -CONNECTION
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# THAT THE : CLEAR AR At UNOBSTRUCTEDTi3 TO THE -SEWER
MAIN
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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 DoublePlumbing
ULID
. .
Other
.•
• , . Y.-- :
. . ,
. . .
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71-itSSPACE FOR COMMERCIALPt:ANS TR itoKIN6','OEFITIFICATE OF OCCUPANCY ONEY'-*********"********************
. .
Date'receivedlor C/O '':Plat-ts putted lot firialpi•Ocesging: •
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:_