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
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, PERMIT USE= SEWER CONNECTION — 2801 .,
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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
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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
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PRINTED TE.fD i:s r. : JI•}I..�t' ':.-..1?R:'.sO1
tCOUNTY
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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 )
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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:_ ___________________________