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;
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:.) ` # !::. .`•. # ii-::.::. .... 1 .1420 E 18TH AVE _. '`t:tR?•:'.1.... " 28542-2101
ADDRESS- SPOKANE WA 99206
PERMIT : : - SEWER . :i....' t I
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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 ';± ,
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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
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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
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CONTRACTOR a #.:R #±_ APPLICANT I' • 1 : E LOCATE AND CONFIRM 1 #..1i..
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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
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24 HOUR NOTICE REQUIRED );.-7}'!!:i::t{.i..;f-i.i,..%r.
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**** ************ **** *****4** THANK y tf r h, : *j {iiya * t tR 9 * ; *i *% t * * ;J *
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•
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:_________