1990, 12-05 Permit: 90005275 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 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
PROJECT NUMBER=:.
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PARCEL4- 2O5,42-47, 7
c NAME- z: it , ACRES
AT
OWNER— PHONE=
EPOKA-.:
CONTACT
NAME= LEONARD .... ..I g PHONE NUMBER= 709 926 _. .
BUILDING.. :.i- r E i•'K' : FRONT= NA LEFT= NA ,.. t'i REAR=j.a r....
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PHONE= 509 926 R964
ADDREEE= EPOKANE WA 99206
ITEM DEECRIPTION QUANTITY FEE AMOUNT
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�`,•::,..,•„ •:.f Y E :' R,.., E.. i.:': PAYMENT Ah..-.AMOUNT
i
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12/05/90 7730 : 50,00
TOTAL i !r . . , TOTAL ii . ; : . ,
PERMIT, - ;•:• AMUUN1 AMOUNT .rj:a_ .. AMOUNT ,.ixE.... ....
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50„00 50,00 , 00
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PRINTED BY : JULIE EHATTO
gEWER STUB . .. INFORMATION
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CONTRACTOR ( 4 APPLICANT . 1 i O FIELD riA 'D CONFIRM i
ELEVATION AND i3 �i.. .1. .. i'; '.�i ..-�k::.i...... ... . ...... PRIOR _ OTHER
EXCAVATION
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!LL ?a.-_! (.i _.:. (.. ... DIG (45'6-1-8000)
gEWER
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'iv'3!.'.Sn2•ii•'i{•: P.1 1' CALL FOR INEPECTION PRTOR TO COVER :!:*,F.Jt i1,8•j!...:!.,C
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit: App,:
(in) (out)
Dept.of Bldgs.
Spooial |nop 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 0FOCCUPANCY ONLY'`~~^`~`~~~~^~~~`^~~``
Date received for C/O procesing: Plans pulled for final procesing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: __ __ Date.
Filed |naponalodby. 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: