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1991, 02-13 Permit: 91000367 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 (509)456r3675 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,oras a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF ' T APPLICATION OWNER OR AGENT '<,a...c..- DATE ')—" \N.4:>\:\ :..,,.,, nAFrT NUMBER- 9100036'7 PATE- 02/13/91 PAGE- 01 IsEOED PERMIT 4,-:********** ;.-***************, ,.:,..,•v: .a. INFORMATION f`:.1..*.*;Y 4 i+G 4k 9' `i);.*r.*14 y,..p..?}.p..,.:.i+.9k.p." p , PERMIT USE= SEWER CONNECTION — 2801 ., 9i':+t9i• SEi::. NOTE *)+:Ti {• {'.i+.... 00i ; HMI:: I. .'..l.I'+j Q ;_ OWNER=11ts,: BBUILDING 1 1 i.::.. ... EET- .120i8 E 1ST AVE A T :A�!�?RESS= SPOKANE ANi.• {,i,3A 99206 1 CONTACT NAME= CHRIS SWANSON RHONE NUMBER= 509 926 0755 i BUILDING SETBACKS : FRONT= NA LEFT- NA RIGkT= NA REAR= -JA .-,.t• (...::.a...... ,.... : ......-,. ; ; ; ; ! h, a 5i• '(i ; i - ; ; '±; ; "•; •?>.•:++:':k:1�.:l+.^±;.H;•}ti i s R,..t'f+:'1+:iti'12.n;•p:•e±;-?3;;t;9+:•A;•n:•p:p+;•1+t�P;•?+; :•,t::.W C:.{": I"I::.�'t I'I.1. I '?:•):'!k�Rr'3:;:•}:•ik'Pi•Pr:�'1 r::'l+i t:•7:•7:�;• :'.{�r ii•:±'r'7:•F:•!t••.:•t:•P::: CONTRACTOR= D ' B BUILDING R :: _ .. . . i ADDRESS= SPOKANE WA 99206 ITEM}"i !,?F:::;t.:1•{.I.±_ r :.i.!ry QUANTITYEEE AMOUNT PROCESSING FEE 40.00 40,00 -}.:+ 1+:•?(:•R:•P;•3':.1(,..1:9+:* ak:'t:•+7•.t•P. ?-.P.)4.+. :-. a .t P:•t}:if¢•l+i•j;: I::'A y Imo?1::.i`% '. t.t I'r r:A;.;''+ c±{-3.,,r,'.****•t+i 7=i*:±(.:(::(::j.::'(.:;..y.'±;.a y .,. L.�{„t 4 :•..,..NDATE i•:( F I' R t-,t. I.3^ ± .,: PAYMENT . .. .._ ... I 0 TOTAL RAID- - 5 PERMIT . : ^i . IYPL ~_ M[ i • I AMOUNT ...A... t ....AMOUNT. OWING 1 SEWER PERMIT 50 ,00 50 , 00 ,00 9 50,00 50.00 00 ,--I' i?t. I:At.'I::;I: .5. WI::.I•t!_l1::.i , ;xI..,}„!I•°a.I.!:? PRINTED TE.fD i:s r. : JI•}I..�t' ':.-..1?R:'.sO1 tCOUNTY :..,., { SEWER IUB AS—BUILT I :I:f I'•OR!"ir'{,.I•:I:ON I • AVAILABLE i.I... '(.`.tL,.. A U + .1.I._.I. 1 .L 1::.,:: DEPARTMENT (456-3604) -CONTRACTOR ro•....:.:.,«..,.. OR x,..�.. ...:....:....:. .:. .. . .. FIELD f `'1 t 'R •i III^ 1 t.:O N i :• A 1 t I r} (`( I y- •i i..: LOCATE T'i AND CONFIRM 1 FI. .VA ..f- N A POSITION.. SEWER STUB P Ii... : i.. Fi b:A i ,1:s. !``? LOCATEi TO PIPING, lei,:if..,WATER CALL BEFORE t_ { 3..:... it t ,s .U456-00.00) SEWER STUBS 1 "rO BE CHECKED RR _ { it 3 CONNECTION s, ' xTON TO INSURE t > } 1 THAT THEY ARE CLEAR A UNOBSTRUCTED THE SEWER MAIN : ;P) ; { -Iv : INSPECTION PRIOR . COVER ;xh. 0c PP ) _ . :+i Pi:A.*d:3i..j+..j+..y. .: ..?,:. .... ±;.;,:{ ..:i.I:i..,,.'-i 4*•!l•tii•?, t I .... .............,....., ..,,....--...;.........,t.:.:.:.;.a.:::.*::*:: :f•:(j,:(,::i. :y.:+..;;'.*: i;..y;.:1.:�.:;(i•d,•}:.yr.:(.,:.. ..,:J(..±:.1+i:±i•3+::�`***t»•ia±: '±i':+±;7......_(,..+...lt.9h 9�::r:9e...;.tr;+c:r:i7 4:;g;-9!.•?t-:+fi?'.9!-:•..:. �,:�.:�.:�.?t:x liTHANK you.i I 1;•1....... ... :.1. ... ... 4 v 1 } 1 1 e 4 1 SPECIAL CONDITION CHECKLIST Project Address: _ ,_ ^� Project#_ ___ ___ _Use: _ Dept: Date: Condition: !nit: Appr: (in) (out) Dept.of Bldgs. �_ —. Special Insp.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 OF OCCUPANCY ONLY Date received for C/O processing: — . Plans pulled for final processing:__ _.____________-________________ Temporary C/O issued:-__ y .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: _____ _____________ ..-.______ Date — __________ Plans returned: -__ Received by:__--. __________ No response from owner/contractor-plans destroyed:_ ___________________________