1991, 06-11 Permit: 91002196 Sewer Asummommok
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 •
i' ..
ADDRESS= SPOKANE WA 99206
PLAT4= 001 .39'3 PLAT NAME= IMVOMO . TOUNSTTE:
STREEi = 1I321
ADDRESS= SPOKANE wA 99206
OUNiAci NAML= LEONARD PHONE NUMBER= '_509 926 9964
BUILDING SETBACKS . FRONT= NA LEFT= NA RIGHT= NA
CONTRACTOR= H S CONSTRUCTION PHONE=
STREET= 11017 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
:ITEM DESCRIPTION QUANiiiY
.. .... .... .... .. .. ..
.._..: }•-�..?[.:f...s�:.i.;.j is ':::.E 0 ,
00
SEWER CONNECTION
.}...)`:a+:'7=::A:.'7t !i 't)}:li A p::3}:9s:.7,.**.!;:•. t -::}.'Ff:t}:'1}i 3}i i`F..r.",-'.. pAymENT EummARygAi•P'.. .. .. . :. .. :. .. .. 'Fi'1}: }'."•i:f'
06/10/91 3566 ,
TCTAL DUE= . 00 TOTAL PATD=SEWER PERMIT ' 50 .00 50,60
- --PR{L N!l:.D „JULIE SH`•4 T t,'i
UTTLITIEY
CONTRACTOR OR APPLICANT I: TO FIELD LOCATE AND CONFIRM THE
ELEVATION t•�;T•:!,t POSITION :'s}.. SEWER STUB ;-(,,,Y t•�,:q''S' OTHER
EXCAVATION
TO k i}J l I i _} ` t ) CABLES, r f i 4. Y 1 } :`J WATER ...
"' 1 y
CAL..}... A:SEi }iR f_, L.�!„tt `f,1 +�s:!;w 5_ ', ,4`S''�°,.t i_r Y s
:»c..•��:.;ti .:: I �..J t:S: i•�7�•
1U ,_i, t..!•'S:� tt: ) 't"` i.t.;i•C i ins;v�_t;.{j J��'•�
•i'k.7A f ; I-,;1::."k ARE ,CLEAR. l 4, D (tN it ti ; R j: .i t T,; THE SEWER--,MAIN- T -
'R'iv'$!i•P:•tk'7=:;h;i'i} CALL j' :r• INSPECTION PRIOR TO COVER '1C iY*'7i•'R'Pi't'::*Fi
4(.4f.-*) t i-, 24 HOUR . .ti . .. i, REQUIRED -—*N'1F 9.F`.'•,'';) }r*'iL..
3i if:;'};'{.:.••,::..:t:::..,_:}{.;;.:. ,t', }.t?'};' :}t .::-t.,.*M:n: :. . T1.4`N e,. •`tr )'::}E J}...(...)s}i:::.r.ay.ai.)i'ft}c.Ji'. )f,. :y1.**9r 5i:. t• i.:,r*•}a:
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: mit: App,:
(in) (out)
Dept.of Bldgs. ! '
Special InspFinal 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 OFOCCUPANCY ONLY`^^^~^~^^'^~~~~`^~`~^```~^
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued:
Office file review by: . Dote:
Filed insp finaled by: Date:
Ninety days afteC/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor plans destroyed: