1991, 02-25 Permit: 91000698 Sewer u
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 E 126 DATE A '—
**3?:'h ri$A**ke ie**0 a{- * k*h.•n:•h*a: ::s•*€: PERMIT .f pi F t;.)j M A i I O+r C it•A•:n tit St tiq Ir'ii*3,.:H:k fi.h:i:•tit•n.*n.'Jr i+: E:E Sk'n:•-,:i•
T 1 x T.REE..'I- `t 1-44n E.
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1.47E EE.WE. :ON t t t ? e:
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TOTAL DUE-
PERMIT- TYPE FEE AMOUNT AM11....,-
.EEWER PERMIT . 50, 00 50 ,00
50,00 50 , 00 , 00
UUHN
SEWER ETuB AS—BUiLi iwruRmATION Ig AVAILABLE AT THE COUNTY
nflN7P,f-XTnr.1' ini-:ATI:7 AND CONFIRM THE
TO LOCAE BURIED CABLES, OAS PIPING, WATER ECT,
- EEWER ARE Tr.) BE CHECKED PRIOR TO CONNFrTTcw rn
THAT THEY ARE CL EAR AND E:
'3=:**-P:* *'u:A CALL i a COVER q' e; .rj.:gai...
• ............. INSPECTION,. ? L..... ?.....! �I PRIOR_,i•t' €s 3.'lqi 3':'F.'3 '33:
...-
*******§* ... t' -HOUR -NOTICE REQUIRED
*:+i*;l'..e.* i{r A56-3604 —
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SPECIAL CONDITION CHECKLIST
Project
Address: ____...__ — Project#_– ------ Use:_–_-_.-----_Dept: Date: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 PLANSTRACKING,CERTIFICATEOFOCCUPANCY 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:_____________