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1991, 05-06 Permit: 91002343 Piping SPOKANE COLA zIEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 (509)456-3675 I certify that I have examined this permit/application,state that the informat:an 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 processiri In a,;di,tion, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same.All provisions col laws and ordinances governing this type of work will be complied with whether specified herein or not.I understand that t .uanceofthis•ermit/applicatio - subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or can • •rovis'• -o .nystate ori oca w regulat gconstruction,orasawarranty ofconform iththeprovisionsofanystateorlocal laws regulating construction. SIGNATURE OF 0 APPLICATION / 9 ) OWNER OR AGENT �! " Ja� _/ DATE PROjECT NUMBER= .91002343_. .. .MI DATE- 05/06/91 PAGE= .. t.::,:.u.:;.:,-::i.a,::c as ai:::.:..:,c:•.:i.::r.:�.:,::,i.:,r.:,r !. :.,.!.....:.i.R 3 !,..t=.. ..............:... t-`i".d-t- ..?. .i.. ..�a�,. . j�.:lt�.!.T.li""ft}.. '�}t AVE ADDRESS= SPOKANE WA 99216 {;; PERMITUSE= CHANGE SEWER PIPE TO ACCOMIDATE. SEWER OONNECTION PLAT..:.e..; ± •!�••-' 002962� ? !...r^:{ j;�{'a,. ..i`:€:'k., i:,t`{'a i•i`i:;i PARK BLOOK= AREA= 00000000 ESA= G,; ;;J, DEPTH= ..fir -}e' ,:, A.3...A.14:!.:.... i 4DWELLINGS= � WATER DIET OWNER= WARD {: ±:.3....1.1.-3.^ - 7 :.[: STREET= 12905 IF 12TH AVF ADDRESS= SP`..+I',AF'":'.... .+i(•3. . '%n.- . ,+'t CONTACT NAME= j. W. eHONE NUMM7R= ':;09 924 .:.:...:.:.?.}.t.! SETBACKS : . ...t`'i.•! LEFT= ;v;••3 RIGHT= :::+:u!::4•:R:*]}';n:4!:1l"•1l:..Yl R;4 1•.1-.7,,t K l,h R.,•.Ti'1?:'T,' .4Y c:e...i.+I':t::?.i�+a ':,•'I:'t•K...`i T :C' 1 f.,t A 1. .4!...:...1t•i-'ii''?i Yk'R.1.A.'Fr -:';:',''1; CONTRACTOR= OWNER FHUNE,:, ..m i.r 1,. t ,., ,.:._...i `,,' _ 1 •.I,N i .!.,.F.. AMOUNT , , PROCESSING FEE 25.00 \i,.i::. .{"till i..:l, i•j 1: MINIMUM FEE ADJUSTMENT 4 ,00 :;r.;-{.•;;.*9 i`.'...:7±:"i•i+t•j'r:}i•i!±.•:?•::'}`."..,. •'1;•,:1?:.,.:!±. ..!?r "A !t'.L3, ... ._... . . . : : .'a''".,:_.,;..,. :C ;,.;..i.... ... PAYMENT TOTAL DUE- :+a.. TOTAL . {'"t.i_ .. "? t...!'`•.?! !. ? {P?:.. !"':::.'::, AMOUNT t'%••?. AMOUNT PAID AMOUNT OWING PLUMBING PERMIT 00 :375 - , 00 JOHN LAREON JOHN LARSON .. ........ ...... .-; .. .. .. .... .. .. ..•i.:'.:i.:'.:. '.:,i.#i.:,;.:!..Ii• i.:}}.:i.:,,::i..e;.:?i.:r ".:ry.::'.:,}::n::, :i..ji.:n::ry.,j!,.j!::!}:1. ,:::!k.. ,.•!t:':!!:•1!:;±:..'!:1+:,... .....::!!:..,:;y:'k:!•.•.!. b.A.:4.. ,..:.�i..i...1,. THANK .�f;`_; ..r::!B 9±. .. .. .. 7. .... .. F.,.1.,... .:'R.•i... .. ..:....:! ..,•.. 4 1 * SPECIAL CONDITION CHECKLIST Project Address: Project# _'Wme Dept: Date: Condition: mit: Appr: (in) (out) Dept.of Bldg Special nap. Final Report___ Hydrant( ) — — - -- -- -- Lock Box Engineer's n0/CRP Easements -- Road Plans/Improvements Bonus - — - -- -- ----- --- - --' -- - --- -- ---- r|unning____ _ _ _' Bonds } -- --- - -- -- ____ __ --' - --! -- -- -- --' -----� ----- ---- - --- -------- -- - -- ----| — --- - -- -- ------� -- -- — ------ ummoa -_ Double Plumbing _ uL|o _ ______ Other ------ - — - --' __' '^`^~~^~```'~``~^^^`^^`~`~TH|SSpACspOnCOwmsnQALpLxw3TRACK|wG.CsRTip|CATe0pOCCoPAwCYOwLv```~`~```^``'`^``^````'~```` Date received for C/O processing: __ . Plans pulled for final processing: _ 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: - _ ____ __ _____--_ Duto: -----' Plans returned: __ _-_ —____ ___ -__ _ Received by: mnresponse from owner/contractor plans destroyed:____________-