1991, 05-28 Permit: 91002890 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 (� DATE
CA,T" p.-/5/
OWNER OR AGENT /t'�`ie"'1 • DATEs ��j// (1
•
;.. ,., t. i ':t l_ m"i is}i::.#",».. :+``! l;'),: Y S:3 #.S;•.i.:J E..t) S'ER!"} i i {i A T I:_. 05/29/91 A?7 E= 01
:±_:9e-tt*-,',::±..?,,r?..J?•g;tt:'t:)+::+t'1?9±.•4?•ih h„*}?*J:}+.!•:•ft J?. pERmIT INFORMATION )':±r'1....t:.J.J.). .. ,..?.7,Jt.?J.J.J..i J.**.7.'•';
SITE STREET=
=34 S WOODRUFF` `1.3 i^A R 'i 20542-1438
ADDRESS= SPOKANE WA{• 2•.7(.'t
)6)±:i+; SEE NOTE :r it i±;
PLATO= 002208 PLAT- NAME= REitIG ADD
AREA= 00000000 F/A= F WIDTH. DEPTH. R/W= 50
•
•,r OF ai#._A?¢rr 3= 0 A.4,.f:.#...#..... r,:+.... , i,a{.a #-:.#': ....
OWNER= L..'{rd...:}?; BRIAN PHONE=. '"':''..'. ...
477
STREET= 704 S WOODRUFF RD
ADDRESS=•.. ,kPf1K{•'$j: $ 99206
CONTACT' NAME= +••N LYNCH e":{-#t..lt 3.• NUMBER= ;ty 8477
BUILDING SETBACKS : #•• •C;•#„'"'::•' NA LEFT= NA RIGHT= .`F}"E REAR= i•J{:fi
:::'.:(.a::•.:::::'.:t:•*s'.:..:..::*�c:..:..:t**:g:*'1+t'Pt'P:! 9+i SEWEH I::'H 1:;='::.R M:t T *******************K***** ***
t?d t.�J?J?J? K A. M :i a.,.t.A.:...J.J.1+ J. ,�l::.lxi..... . #........#. .
CONTRACTOR=..R{-'+....".k-tR::: O ,`Ne::.R PHONE=
ITEM DESCRIPTION - QUANTITY FEE AMOUNT
PROCESSING FEE 10,00
#::.Wi::.ii CONNECTION j 40,00
:±t'J+:a:Y:':4k'A:.%,..?,..J±..p..J,,.,,t:'.:::9±:'?:*9?J•.f.: {•3 Y f"!#::.N } :.S.i t't i"t.'-.j F='''( •Jk'rii.: :J.•ti•*'!. 1 i.7.1.. h:
PAYMENTAMOUNT
05/28/91 3251 50,00
TOTAL± AL DU1...._ ii.:+ TOTAL
PERMIT TYPE ,.. AMOUNT(,i-I.,N AMOUNT i..:t:+.#D AMOUNT
SEWER t,J'::.F{. }..•#::.t' MI i 50,00 50,00 :''l±•
PROCESSED BY : jOHN LARSON
PRINTED I;i Y : :.J t.HN LARSON
SEWER Si UiAS—BUILT
r . 7i1 . » ` Ni • R'{ Yj` IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR 4 APi'i....#.i.:,::;N # IS TO FIELD LOCATE i + AND- CONFIRM E
ELEVATION_ {•:i;'•;.% POSITION OFSEWER STUB PRIOR TO ANY !.1 OTHER
EXCAVATION
TO ...i:!i.:{f # ::. 4iIF ' i CABI FS GAS PIPING; WATER} Ef: 1..1NE... ECT ,
. . ,
CALL :::...r i:J tY:#:.. {t.J;J J_?.#.c.� •. d•r.:%r:,....r•i Cyt.J{;:,3 .,
:. 3::.iuk:.l. STUBS ARE TO BE CHECKED PRIOR
lt• CONNECTION TO
INSURE
'}•:.
r - THEY
r # Y s 1 E CLEAR t( A
.:UNOBSTRUCTED T SEWER
4- MAIN p "
: y ; . 1 CALL INSPECTIONPRIOR COVER 3i: iP1i
• *
r .a .: _ . . ` i. irEREQUIRED *ick*******
i ! :pk) : y , 456-3604
*)`i)l..3,.)±* {. Y:R•3I
********************** *** ***:k THANK you .R) ) : .:. :s *K z P `1 , ) t :J : p.i:.: : „) ) ) : . .
SPECIAL CONDITION CHECKLIST
\ `
Project
Address:
Project# Use:
Dept: Date: ! / Condition: |nh: Appr:
(in) (out)
Dept.of Bldgs
Special Insp.Final Report
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Hydrant( )
Lock Box
| /
(
-_`
Engineer's__ i } ! RID/CRP
Easements
Road Plans/Improvements
Bonds
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--' --i
Planning � ` Bonds
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--'
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_-'
Utilities ' Double Plumbing
ULID
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}
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Other
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` ^^``````~~```^~'~^````THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE DpOCCUPANCY ONLY``~^^~~`````````~````````^`
Date received for dO processing: _- Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: Date:
Filed inapona|ou 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: