1991, 05-16 Permit: 91002655 Sewer SPOKANE COUNT`,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. ovisions of any state or loc w 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 /1---.Ce-.) DATE /l//3y l�/ /F9/
PROJECT NUMBER= 91002655 ISSUED PERMIT DATE= 05/16/91 PAGE= 01
* ******,***,k**************** 1''±::. =,1 1 1 ., 1±•,! *** ****** *******:k*******
EITE STREET= 710 '- WOODRUFF RD i P t i C i_,,i;;1 .. 20542-14
ADDRESS= SPOKANE WA 99206
PERMIT .i.)EE.= SEWER CONNECTION — 8002
*1?')i' 1:•E 1::. NOTE ::.1,..1,.
PLAT4= 002200 PLAT NAME= RETTIG ADD
BLOCK= '1 LOT= 6 'ZONE= r''•{i,.`:UB D t S i s - 1..
AREA= I.:',`(i!::: #::' WIDTH="i= DEPTH= 161 ?:i:::: ")=:_'i
OWNER= LYNCH, JAY PHONE= 509
926 8477
STREET= 710 E WOODRUFF RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= jAY LYNCH PHONE NUMBER= 509 926 0477
BUILDING SETBACKS :1 FRONT= NA LEFT= NA RIGHT= NA REAR= NA
:.:,..: I:: ......,:.:..:.. .... ...... .............. .... .. .. .. .. .
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CONTRACTOR= OWNER PHONE=
ITEM DEECRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 10,00
Jt. R.,t,.. P. !1. P. :t.}-. !<.!t d. P.,l „ :t iy:;(• t•'Fi•A: •Pr•i1'P:• !i'Ar.j,;•tini'1L• p,ti!-'i±'•±E;•. ; :-1..!i"±i";cy:•,'`; .i;..j,.:1;..y;..j;.:;,...;R.:1,..i;..}P.i:..ii•Y:li••ik:,i*:k:'tr:-^•i !r.i;.:1;.:..::: :.:.:.:::.
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
05/16/ 2965 50, 00
................................................
TOTAL 1 4.:i±... !?1..!±::.:::: ,00 TOTAL 1.:r.:!.!.1,,, 50 ,00
PERMIT TYPE PE r : A!'9OU!' 1 AMOUNT± ±.:A:L;.i AMOUNT OWING
EEWER PERMIT 50, 00 50,00 „00
:O ,. EHATTO
SEWER ETUB AE—BUILT INFORMATION TE AVAILABLE AT THE COUNTY
UTILITIEE DEPARTMENT (456-3604 )
CONTRACTOR t'!•;' APPLIcANI IE .i.1� FIELD LucAfk AND :?'+:.. 1 k". THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVALION
, LOCATE
i:F�.1;;1 i.4-i:': i-` 1'` r`�ji�, ;��"� 1 1 1`•-1?•� �' •'i :
..:�•'!I...i... !:. .. ±:ORE BURIED'f c.U ?. ... 0156-0000) ...
• ,..;,.1 i-:;' ;?. i J t:,; ARE 7 i BE CHECKED ,i-iii• 1 ;`+;F`•v, t t'�) i i t`•- ..t,11'?`?:�.
± ,..A ; ,,E , ARE CLEAR AND t.!±'�?±..?is,`:• ?�-:#..Jc.:...#:"i; `!{ THE ':iEu,#±.i. MAIN
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1. 1: A ).1.1. 1. CALL#... i +.•,, .±.1""''?,•±''±.:.1..: ? .?.1..±'`? PRIOR i l COVER l.i i"i•C 'i:'i4��i1��1:3:t:::i'1.•::::
71.*.1,..;,..,,.*.1,..?;..1.. 24 HOUR NOTICE R±::.Q,..!I?........ 4f.*1 ) 1 t l
91::'k o:"P:•P::tk 3':;i:'Jr
456-3604 :k*********
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SPECIAL CONDITION CHECKLIST
Project
Address:
Project# Use:
Dept: Date: Condition:� mit: Appr:
| '
(in) (out)
Dept.of of Bidgn
/ ! '
spooia| |nop Final Report
Hydrant( )
Lock Box
,
Engineer's ! ' � RID/CRP
Easements
'
-_(
RoadFveno/|mpm"omenm
Bonds
—` -/ _ � ` �
� � v _ _ _ - _ _
` -'� ^
•
Planning Bonds
^°
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Utilities � ooumoPmm�
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ULID
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Other _
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^~`^`^~~`~'*,^^-~.^^^```.THIS SPAC.E FOR COMMERCIAL PLANS TRACKING,CERTnCATsOpOCCVPAwCyONc/^`~^`^~~~~^`^`~~~~^'``~^^
^ ' '
Date received "– � — ---
processing: Plans pulled for final process
Temporary C/O issued...... ^ Certificate of Occupancy issued:
Office n�m,��
~~ by. �----- .Du
`� `_ = Date. ,
Filed insp finaled by: .Dote: `
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: