1991, 07-24 Permit: 91004471 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 C// y�Gv
OWNER OR AGENT /// DATE // /!
I"t a# , I:.t,, t NUMBER= 91 !r:3' •fit .!..:3 ISSUED PERMIT .jAT'( • 07/24/91 PAGE== f:
: i: : : ) F* i : : i1 : u:.if:: : : Y) : PERMIT + Y 3i "rT ' s JJ : : h 9 *1 : tj: A iti , jjj: : 1 : , :
EITE STREET= 11.005 F 18TH AVE PARCEL0= 2O542-4015
ADDRESS= SPOKANE WA 99206
PERMIT U,:;I::.._. ::?EWER CONNECTION .... NORTH H k#IT• #1I`'tii
PLAT!:1}.e•{ -...!::, - NAME= OPPORTUNITY SUBURBS
2 LOT=
+.:+#p't•:#::.,..= l'.i':pi t::.:J k%+: ':i w F/A= :;WIDTH=
�, �-{�,..i 120 T:i l;.;:_i'N'E:::: 3 0 R/W
0 OF
kJ t4 t?f..R= t..:T 1.i..,.;„: N , ! a F.! t o
....+ t::.. #+...F. f %: #:.G:: E.f': 3•: PHONE= 509 927 'sr+:Jr,,:_/.
STREET= 11005 E 18TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT –NAME= " Y a ' GIl « ^ r t ` :N PHONE
w " # – . 509F 927
2 .
,_'j :.';
BUILDING D.(.NG ,. E # SKAav:lie : FRONT= t. . LEFT= NA RIGHT= Ni.:!
9 ; H 1 tr 11HHS } :** t HHH*; 9 ;Hh: anP ' t , aR PERMIT Hr 3i} : i: *: :j: : ::* fi: : i: ij : j} j
CONTRACTOR= OWNER R {.:2^;O#',$#-.=
ITEM DESCRIPTION Sita 't a.t aY 4-TT AMOUNT
.. ,. .,.t. 00
SEWER ER ._..... ;i};_..._. ;O::; 1
.: 1 H 4 H } H iC C Atft k ! Hn* H k PAYMENT : " r ' r t3F {t1•Hi { k 4 {: Hi : u ii 3 i i iis {i 'i
PAYMENTDATE R I:...:t:..1.L: a •y" P i-a`,'M E>< _ {i" ... .;i:1.
TOTAL
„ n# D # : t 4TOTAL
^ ^# "( t , =
i.i
. #••L.a'C MII # t P E. #::E:.k:. A H i U t 4 AMOUNT PAID AMOUNT ;.,'sW ` H
E 3" #::. t: PERMIT 50.00
..}0 _,!.i. .. 50 , 00 .00
PROCESSED ..i U I..•.I.I:. SHATTO
PRINTED a;t Y : ,,t t..:I....t.I::. t H A } +! ?.;
n
,
I::.%i i-;s:i a• f t;3:� f'�+:::•-...�{a a• •�i .i.I w l��r:#€ �l t��r", 'r'7 1',� ...... ��;' :i:i:t.�Tis 1...I::: �7..�. COUNTY
I...;. I .#.I::.:`? D#'.V h'lR # #";#::.N (4::`.,.1.._:'S C' i,;a 'i
CONTRACTOR O APPLICANT #.,1. TO i I•• .#.I••.I...D LOCATE ;•a N t,i CONFIRM !".•i;•:
ELEVATION AND POSITION OF I zP. r
PRIOR - ANY OTHER
EXCAVATION
:: LOCATE
� CC.T rYR. r3CABLES,
PB# ES; – – tPIPING, a
-" " r LINES, ECT ,
CALL BEFORE f t.;t.; DIG (456—i:.';.1!:.i!,•:° ?
SEWER ETUBS CONNECTION,r•t r.. ..,.+ {^. CHECKED a Y.i.. TO,i TOINSURE
. 'PRIOR
i }..I A , THEY ,••l a'i,.. CLEAR i:.'A a. UNOBSTRUCTED TO THE SEWER MAIN
u) nHu H7i CALL r ; : INSPECTION rI . # R TO COVER ***K******
*:}}:ji-y;.*:u.*9k j(. 24 HOUR NOTICE REQUIRED tr i•`..$ k'/ 3%•)?"9r ii..*
�R'
.. % k•Hi'Jh {.*.1t..f!. 456,-3604
'}Y'H:•9{•i%ii,'%i'If•lti:!i;••}G:lir
K****** *** *********** ******::. :i.:li.::.:,}:.:' :!.'t."i..t+'.:,';::+k..j:.si.:Jt:+t':%r ?.9t.!i•:+i• .�(.a+:9.f!•}:i;":}:1. ..
J•. THANK �r t,�i t_,i ,fi}...J:,.Y.'}`•t.Y.i...,t'.. .:.
SPECIAL CONDITION CHECKLIST
Project
•
Address: Project#
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: _______ __ Received by: _ --_--
No response from owner/contractor-plans destroyed: