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1990, 09-26 Permit App: 90004914 Sewer SPOKANE COUNTY' DEPARTMENT OF BUILDINGS W.1303 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 (509)46-3675 • 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/applicat ion 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 ... ,.. ............. , ,. .. A PAGE= z APPLICATION ±��±'. ..)±...F.: ± NUMBER= _)t,l y'y ± :.f � ii{y;+,::•,,L .{,;, t1 • •• ••• . "i....**** i"r'L'r i i i r i 'er i"N t., ? r t i :?i''P::tk 4t.j¢.j{i 7j.}I}?';»;'ii'it'l+:''it 9k 9t tt 9?'9k:+t'it"It?t:N:'P:')t 9+:9t'it'•Y,' APPLICATION`!^`1....±.�(•kt. ! .t.�,��`�± it c:•N.••J:•Jt t k•Jt a t:?.9.•J.•'):•!t•�t��):9:4::t t:'P:t:9t:..•.)�H:�Jt 4t•9t 9:•J:�i: SITE .;.i.T E STREET= , .. ..T_.. t AVE : 't.( .. 21541 -1304 ADDRESS= .�F:'t.1s:±±t±-dt::. WA 99206 ,..-... .,�,IT i.i,.'E2 .,EWE!.. CONNECTION .... ;:{;`{0 t ••P:• ii '"E E` NOTE �j.n.p. PLATO= 001039 PL,',T NAME= OFP.TR. 1 -354 BLOCK= 190 LOT= ZONE= SFR DIET4= F ,{. ,... AREA= t:"iti+:"i�;j+ +;it:i0 I'1t•'t:::: (' WIDTH= DEPTH= r.;./w:::: ,:j OWNER= YOUNG, ROBERT PHONE= ;! �',�: I: T:::: l •l ` 'f ,1; ,^fll AVE 11 {.,S._: FE)�1t".E:.,:r,:. y`i::�r:;f�±JC.±'i�::. WA `i:J,.:ft;1,") , CONTACT :l DONNA ±:,",t".: (y'"i.{'� "w;t'•t :Z+::y ?.:t.it':'t.•f:.(:� 1' !'�if'ti'il:::::: tji..jt`ij••lr•"••± f;f;il„inti..:t..lt•`-i l:isr': (:��1'}r�;i•: NUMBER= ..-t:; , BUILDING ,•i•, •- •: ,.. SETBACKS : ..� .... RIGHT= t ! i i:f. a FRONT= T• ±�!F� �,t r••! REAR= t'4 r-± 1»=c.?...._... ±'.t..v 3':i..1R1 NA LEFT=::c ••f!. " tik•••• ••'t 'i1," ••' 'rr .'i..'i••'r..'1 i•.'1.j SEWER .ri;:' 1 ii 11 +7r '{ 1Ir F1 r F1! 'i ?t'.:'X'P:{:::9k')t P:''•� +::h 9+:i+:'Pi 9:3:it'1:P:•1:'1C'1:'1t'/:9:•R'i:is �.t::.Ixl?:•.t: PERMIT P:�i+;fi:•u:��i'i::+i�.:•ii••iti:'i:{:•i:'a:::�1t•i:::•i.•j:n;�i:i+::n;�i:�.:�P::: (..:(_ (. •f• ...0R= I:O1.JRC.H"IA:':N ' i:::ONE T•RUCTION 1'HON.E= !:�ir9 ;: ?4 54E2,5 ._.Its!” Ftf� ' i i�, . i r 1::: 1 i:J t:)::'. E.: „f-i i...1...E.: f id g, ADDRESS= VE:.i'=;f..!t_1ALt::. WA99037 ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCESSING 10 ,00 ..- PERMIT TYPE E'E:.E:. AMOUNT A M't t I i..!!•:t I PAID AMOUNT i...i w l N;.7 _. _. SEWER PERMIT 'i{:i:.t:J 31 00 50.00 50.00 :. :i0 50.00 PROCESSED BY : jULTE SHATTO PRINTED ,.Y . ,..fUL:EE:. C'HAT.IC: ,.., :.,... .•. T . ,, ;; UB ,? ,....(:si..!�.1. 7 .1:C�ii».i:iEi�';�•1 i'.f::..i?`� :�: :' f•A•'±4't•A•i1:E...t•"3F;1...1::: f:;..(. ..i'i il��' ..:}I..rt'�t ! 'r.' , •». _:S .r, . : :i' T (.t'•sr ,a.... .0 ; t.i'i ►.?....�. J .i.'r.:.s' A?E::i-`f"'i i�t 1 1'n E:.#",' ? .... . •_i=.,•..:'S ) ,; ,.. :5! .. r _ ...., I_:t_i t'� t ��1.f.a(:;•f i.i E_; t.l±•`•. f••i E:`1"±. 1:1::4: `� f .I: (',:i ;::'7:E 1...T) i...f::i C;(:‘:11.E:: r=-!N.E'i :;t_.±i.y" .±.i•`;±''t ! ..!F. r"I...(:::i1 A'T':s:I t t, i-!i,t 1 j 1:..t,: (:1`':I:"I':r:INat lit" ,�:E-ted is IT I I p i='Es:i:ii h, 'T f i r^!i J''i C i i E�E`E T t"i i...Cl C:'A T E:. �t l)I'4 T.E:.3i .. 5;!1 t�}:::! t. }'t:;:!:�.�;:;, !�i r.t =E::E_.° i..:i.�r r::.;�', ..: ? .. CAi l». ti "' "?to s:)t:J;:i:i ± , ,:... ,.> 'tR S ARE TO BE CHECKED PRIOR TO CONNECTION »i O INSURE ' HAT T .�J•JE::'f' ARE CLEAR AND UNOBSTRUCTED ..f O THE SEWER MAIN N .R'.t'*:o•it'ri•h 1t•* CALL ±..i_1 R INSPECTION 11PRIOR '..! COVER **:*****:**K $ti 9{'i+:•lC 9t'P:4t')t it ,'4 i'i tJi ±'.. ��±i..i ! .l.t,!::. RR-MIRED. . i'-+i4'•:i++i hiii9:3t•a•9t•1: 456-3604{;• 7+:4C'.t'P:'P:?t-.k'1t:�: ..1 ... ., ••••.::_S.•_]L\:-SL St.l:.::-.,::...:.S:..li.:n.SL Si..t(.H.5!.ni..i' ''•, • . ., w M.M.:ri.:ri.:,i.ar.:n.:ei-:ti� { ±•}u:r.+±c : S:t •R••)i--p}_5�•i+i..n..i`:1i..jr..{c:{;.k..u..}!.t7]:•'i!-J?' `i 1`:!+r'i+r i+`r:g:9*.:R"1,r�`•9t.;et..{,..,,. � . � SPECIAL CONDITION CHECKLIST Project Address: - projemt#_- __Use:_____ Dept: Date:Date: Condidon: | / !nit: Appc (in) (out) ---- - --| / Dept,of Bldgs. — / --' — -_' Special Insp.FinalReport_ ' -- - - -- / -- ---- ---- --- ' --' Hydrant( > } | LockBox ---- - - ------- ' - --- } _�_ i _�� --- -- ------'-- - -+� -- -,--- / - ° __` • sngineerm — ---- � ' ------�i -/ --| mD/CRP . --' ---- ! --| _-/ Easements . --- ---- - ' / | Road PlannHm � '�--- �",=. =.� _-` ____ � --( --| Bonds -----• ' ' -- --- ------- ---} - — -- - --- ' ' � Planning____� _-| ! Bonds__ __- • ~ i , [ '^^� .—r-' | -- `-- - - ` '' , `� ' .'�' `'' ��^ ,/ ` -- --------' -{ -- ___- ___ � ' �� | ---- | ' Utilities� ' �. �� DouNapqumbi"^ ' ' ', ULID �� ' - ` ( ' • '' ' ' -' ` -- � ---- -- ' ^ __ Other � - ' ! - ' / i - --- `, - . --- --- , ' ' � ` ---� ---- - -- • - � • ' -- -- • ' x ' . . ,,~~~~..~.~,~~~..~,~~.~ _ THIS SPACE FOR COMMERCIAL PLANS TRACKING CERTIFICATE OF OCCUPANCY ~``~~``~~^~^~^`~~~^~~^~~ oate received for C/O ' � ,.~.e~~. g� -_ Plans pulled for final processing: _. Temporary C/O issued'____ __- � Certificate of Occupancy issued: Office file review by: _ mute: Filed inmpnnuleuby: _-� Date: — Ninety days after C/O issuance: -------- Owner/contractor called regarding the return of plans:.. . - Date:__- _-_________________ Plans returned: ___ __- RonaivoUby:____________�_____-_____-_____________ No response from owner/contractor plans destroyed: _— p JOB ADDRESS: / 1 ( / 3 / SUBDIVISION: l ) ' LOT: BLOCK: ( ( - OWNER: it toi (� 2,( i ?jo PHONE: ADDRESS: CONTRACTOR: LI —V-7i �_ �JZ PHONE: ADDRESS: LICENSE #: INSPECTION DATE: TYPE OF OCCUPANCY: