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1991, 11-27 Permit: 91006372 Sewer AilliiiiiillMie rrrrretwmr. w. 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 PE!:i.)•_?Ft.: I NUMBER= 91006i72 ISSUED PERMIT DATE= ii /27/91`'J1 Ai,. - tali x**....r.1.t.3, tc K x..t...t. t.t.n.t.t. r'E:.YC?'?.L E INFORMATION t.s...:.........*i.....Jr i4 t.J.x.,t,to i?•)f•i..e u ie z SITE },i r,..,:_•" t . 1 ,)111 E. il ;, AVE [�fi 3"•`....'.C..:,}:::.. 22544—i108 ADDRESS= SPOKAt WA 99216 . PERMIT USE= SEWER .ONi+'-jE; ? .... sc;E"2 !••'Ci;r» T f.:' 1 : :w_ 0016o:., PLAT NAME= ` rR . - - PARKi< , i ra r i 54 , ; :_ BLOCK= i LOT= :: ZONE= E��Y i.r i'�:fi. Yi.`t?.t E-,"r.... r. , ••r 0 AREA= 000000000 r• ,•A= ;.. WIDTH= ..1..:.s' t .'= I /L�.t= ._' eOF ^I_ ? - ,. t w D+Er.... ,. k N x E . ! iWATER DIET . VERA OWNER= USHER PHONE= ADDRESS= SPOKAPfl::. WA 99216 CONTACT NAME= RON SLOAN PHONE NUMBER-: 509 922 8500 BUILDING ' : k { : : , FRONT= NA LEFT= + ^ RIGHT= t i REAR= *A !.:} r 1 ; , , xtu ) x n } p :: h t uuntn : n N SEWER irR rr ° V. _ ***************K************** r { _ } ! . CONTRACTOR= ALWAYS ACTIVE' E �'i':t,. tfi•= ... ,,+. 9228500 STREET= PO BO ' 14-1562 ADDRESS= SPOKANE WA 992-14 ITEM EM T!E:.St.:RT t T.?.?N QUANTITY FEF AMC:lU'a ! PROCESSING FEE r' 10,00 SEWER CONNECTION 1 40,00 **: ***)1.:*********************** A Y i E N T SUMMARY :!?.•i,:r....:...•....•P:•Y,i ii.......it.*•a•*•; •ui Ai*:..R.*•*:'t•:!i A: I-A i iV1t::.Iwt E DATF 1 E:: E''•.L:.t.:E i.1.: t O PAYMENT AMOUNT i 11 /27/91 coo 50 ,00 TOTAL AL.. ?JUE:::: ,,00 TOTAL At... A : D::. 50 ,00 PERMIT TYPE FEE AMOUNT AMOUNT i" ;•i AMOUNT OWINi_. _. PERMIT 50.00 l;} ,t'!l•t - 50,00 ,:J!.t 50.00 50, 00 ,00 PROCESSED r 7 : JULIE SHATTO T I . PRINTED ;, t : DOMITRi.i;y,IIC'.f, ROBIN ,}EWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY U I .I.i...... . .E.I.... DEPARTMENT I i tME t -(456-3604) CONTRACTOR :1R APPLICANT i-:ANT POSITION" " FIELD LOCATE AND CONFIRM THE ELEVATION AND "( ' :: STUD PRIOR s 3YOTHER EXCAVATION LOCATE : UR } D CABLES, i ~tt , ai . PIPING, ). LINES, r . fE_ T CALL BEFORE YOU .ii.L i.. ( 456-8000) SEWER STUBS:It : ARE TO BE CHECKED PRIOR TO CONNECTION l^ +FirI " rrt1 INSURE THAT I {Et- Y ;-:,ii•::t::. ;; E N i D UNOBSTRUCTED 1 O THE l SEWER i t`' r *bp*a i {** CALL FOR INSPECTION PRIOR { I _ R . COVER *ppR pt . &p , q 1 9 t *9J9 •F:,. _ ; HOUR NOTICE REQUIRED •it•*9,.•1;'**}?•'ii•:}e:* j**.ri..i,..i,;.i,,.it*.p. .456-3604 : .;7••.) }/*•i,.R* t .::.,.•.: } *! 7 t 7 ( 2: 7 : ;: t ! a ;tjtN ,. :*t . THANK Y t r 7 1 *1 **9 . : ! ! tNi : t . 1ii**** * ' r) K i a 7 a 7 1 I 1 3 1 SPECIAL CONDITION CHECKLIST Project Address: Project# Use: Dept: Date: Condition: wt: Appr: (in) (out) - — Dept.of Bldg __ Special lnsp.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 procesiny: Plans pulled for final procesing: Temporary C/O issued: Certificate of Occupancy issued: Office file review by: Date: Filed |nspnnuled by: . Date. Ninety days afte0/0 issuance: Owner/contractor called regarding the return of plans: Date: Plans returned: Received by: -- No response from owner/contractor __momnnonmn,mmmwnevcomraoto, plans destroyed: __ _ _-_______