1991, 06-26 Permit: 91003710 Sewer 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 to - . : regulating construction,or as a warranty of conformance wi the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AG — �• _ _ DATE
PROjECT NUMBER= 91007710 ISSUED PERMIT DATF= PAGE:, Oi
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SITE , :.:fi..," ... i..i AVE PARCEL4=
ADDREgS= SPOKANE WA 99?i6
PERMIT USE=
ER
ONNECTION
EEE ...1. .... .. ...
P1. AT = 001345 PLAT NAME=
AREA= i : : . : WIDTH= 'i ! DEPTH= 145 '
!11.. B !:i'.;:;= .. DWELLINGS= WATER DIST .... MODERN
OWNER= NORTHWEST idi#::' HOMES PHONE=STREET= P BOX 141295 AVE
ADDRESS= SPOKANE WA 99214
UoNiAci
NAME= ::.(! ARNULD FHUNE /I,,:;'i<il..!.
BUILDING SETBACKS : FRONT= 35 LEFT= 26 RIGHT= 25 REAR= 77
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CONTRACTOR= UNKNOWN PHONF=
UNKNOWN
.:
ADDRESS= UNKNOWN :t.i
ITEM DESCRIPTION
PRflF=FNI.; FEE
SEWER CONNECTION 40 , 00
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06/26/91 4154 50, 00
................................................
TOTAL DOE= ,00 TOTAL PAID= 50 , 00
PLHMii iYPL AmoUN1 AMOUNT PAID AMOUNT OWING
SEWER PERMIT , oe
PROCESSED BY : JOHN LARSON
PRINTED BY : JOHN LARSON
SEWER STUB AE—BUILT INFORMATION TS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT 56-3604 )
- e :. ':`A ,,;? }-.;!'.1 E1 .!'I ,..ice PRInR Tfl ANY ATHFP
EXCAVATION
TO LOCATE BURIED CABLES ,
: WATER INES : FCT ,
CA[ L BEFORE YOU DIG 56-9000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND Tn THE SEwER mAIN
FOR i INSPECTION N UNOBSTRUCTED ::l;:�}''}:' ': : .,}:.
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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: 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: v __ Received by:
No response from owner/contractor-plans destroyed: