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1991, 04-02 Permit: 91001538 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, 1 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 C DATE Y`_ 1— 9/ !sO a.i 1::.t.: 1 NUMBER= 910015 38 'ISSUED PERMIT DATE= 04/02/91 PAGE= Ir; :'.::;.::.:*X.:::.:t:..: :i.:i.:::..:;.::::.x.:'.:,;.s;.::.;:s..:t S 1{ t; 11 i. !• i! !., tt)! !, 1 t! ..�!.'j. r.,,._,..;.•r.:...:. ... .. ... .. t r.i•. )t: ..} }-.t:. 3-.. .-.i ,..t,-.. } 3 '!':.1:;^' �. { i.1`�':"1._1 I"•.S"1(Fi.i..i,I,�i t't; i%i;•it:i:-it.%:, f.., t. ..}•....z)...).R i!Y:...).t.1t i'�i•.. :.) ` # !::. .`•. # ii-::.::. .... 1 .1420 E 18TH AVE _. '`t:tR?•:'.1.... " 28542-2101 ADDRESS- SPOKANE WA 99206 PERMIT : : - SEWER . :i....' t I '-.t iK O !1-i i E i?xi!)i,:, 1 i::. PLATO= 001393 ;:? ? NAME- #i;{,1 j5,i_,F"t,# # i,f,I,E#•1 } #1: y BLOCK= LOT=:. 1..!... ZONE— AGEUR uwNEP BURNINGION, BRUCE PHONE= 509 926 0638 ADDRESS' ,:j F _ !C AN i::. ;.ti A 99206 CONTACT NAME= R S EXCAVATING ?.:t..i `i i` ijMrf . . .. 7 77, 45 7 • BUILDING SETBACKS-: FRONT=- 7`±T- LEFT= j j f� ... r.., 1 ';± , -f}I .:..u.:,.a a::::,•.s.:'.'':::i.:'::::::,::,::,:.: :a:.:. ::„:::a:a'.: .t;..j1::p.' )=..-:p.]j.:j.: , ;t!1 i1 ij-i!i Pio:'Pi) i;''Pi II,4 i!i Pi:Ii iI II•ij• :. ! z :!,P.:!.:!. ,t.i!:1!.)•.n.P.n. .t rt:!.a•P:•1!..•. n.-. )t.�.t n , ... :xfi•:.r°: #..�i::.�';.�{ .....'a:,.......s.t!:,,::' 77.[_<:•t T!'-.ACTOR= f°•. !`.: E.X,Cf.,p f.:? .L i'Q i.. #...•..-. . :... i'0•' ONE:, .... ., ... STREET= POR 90 CT ADDRESS= #'.##H P' ?j ALENE ID 83-8i4 ITEM DESCRIPTION QUANTITY FE AmoiiNT • PROOESSING FEE E#:::iilER. CONNECTION 40 .00 � .j •.,}r: :.:.:. ...:,:::*k:11.*.:)* .:,:.:;.:::::'.::::,::::::. :j.:,1::1::j.4 s,:4::4 f}.!1.}t'}!.r!. 1.:•:':!:')!:.'!•.•!! 9, 1• I I• { 1, i :,:.i::n::,' :.::v' i r...,.r... ,. .... R t.i' � 3 .:::,r 1 L: r ) J.R:!.,!.:,:k�P:�1•.P:•P.!F !. !..!1 2"1,.:. J ? ':r x.11'^•i�F�,.•,;'' 2. r:9'•i•,•YS•.is iR'i' i.:�.:,j..,•.."..,!..!•.dt it 1.r.r.r., .t R.,..R• PAYMENT DATE RECEIPT:1:: PAYMENT AMOUNTL:j.?•:r" 1 i IYFE F14. , -:;f';UN # AMOUNT ,-'A ::aM1'11-.#1, : ? EEWER PERMIT 50 .00 50 .00 .00 ' PROCESSED BY : JOHN LARSON PRINTED I __1} f'f • ..tl•i 'IN L A},:Y• .:N .. SEWER STUB. AE—BUILT INFORMATION JE AVAILABLE AT THE COUNTY ...'•Lt''[fK ! M.....'. r'•.'.`.?._...t":7::1•'. CONTRACTOR a #.:R #±_ APPLICANT I' • 1 : E LOCATE AND CONFIRM 1 #..1i.. 1 ELEVATION :.,'.a"' POSITION SEWERSTUB P R O I'•: l ANY OTHER BURIEDEXCAVATION TO LOCATE CABLES, GAS PIPING, WATER LINES, ECT , CALL BEFORE YOU DIG (.. .456-e0o .; SEWER S1 .B' _ ,F O BE CHECKED HEv ` % PRIOR TO CONNECTION J` ;ti CALL FOR INSPECTION i .:i!i R )k 9!:1'i!.R ij:X t!:a!::r�;.c:t•.:;I%;,..}. 24 HOUR NOTICE REQUIRED );.-7}'!!:i::t{.i..;f-i.i,..%r. .... X............. 5:i.....3 R :...4.. ........... ')!:•P:'P:•P::!!:•R'a'8t•:!: '.:_:t.; ,_)'".:t.:?s., P:9k.t:9i i!{:!:-P:4k•t!:N: **** ************ **** *****4** THANK y tf r h, : *j {iiya * t tR 9 * ; *i *% t * * ;J * - • SPECIAL CONDITION CHECKLIST Project • Address: ___------------._________-- Project Dept: Date: Condition: Init: 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: _v_ -------_- -. Filed insp finaled by: ________ Date: Ninety days after C/O issuance: Owner/contractor called regarding the return of plans: __ ._ —�_ Date _.__-_ Received by: -_______ _________________ ---.-- No response from owner/contractor.,.plans destroyed:_________