1990, 12-05 Permit: 90005278 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
•
TEEUED
ZEL NOTE
0027'fl PLAT
•
,
BUILDING EETBACKE : ,FRONT,,, NA LEFT.' NA _. F.!.,JGHT NA REAR= NA
.. .-; .. ..,..+;.. -.••. :'.::i.:: _ ::,' .j.:i.:.j:A:at.:, :..};::j.:,(::j,: ::R.:n,'..:F:' A:::j.Wit.rry,
...:.}f..5t..j,. ..j;:..:t`:`Y •:�f'�>.'�.JE:)_.....:t�:'I!::.'ii: ... ...ihi . ! ..}. .....�'' .....� :..:';1 .. ;.r. :.)':'::ft:As 't!:�. .... ..�:''v.
STREET- 1117 F VALLEYAY AVE
ADDPESE= SPOKANF WA 9920
ITEM 7 FLE
: :•.
_... PAYMENT De E ?;:.. REoFTPT4 PAYMENT AMOUNT
12/05/90 7732 50. 00
T AL. DUE:- ,(:.)0 TOT AL.: . A-.?.,..
„-,.,t, i , ..t t t_. t-.... _. AMOUNT . . `Ii.. PAID . ...-'t N {. OWING
SEWER PERiArT 50 , 0 ' 50.00 .00
50 , 00 50.00
PRINTED BV : JULIE EHATTO
TY
SEWERUyt1t
STUB AS—BUILT INFORMATION t t t ';'+; . AVAILABLE I'��.` ... .t`+7
__DEPARTMENT'.. ..; __. _
CONTRACTOR O" APPLICANT 3FIELD LOCATE AND l ! - '
..
,
...[ i' x.J lV AND Pj..l,`. .1. r .s.i..t`. Or s'.s::1,:j t-sr-. iY: t-.t?. ANY •
r
AVATI ON
t;Ar r. :::i, '4i. 1, WATER i..a.:'?I_-.. ,
Ei: ORE YOU DIG (456-0000)
1 , k F;i1•tt t ; t I E!.{- k r to ppToR To CONNEoTTON TO E w;:1:tE. E.
A -i HILT t}I E. ,,.l.,.?,_AR f'iNv .. NE.,.E,.. i ?.k.{?,. t I„ ; 1..1 ,,t_w MAIN
*KW:*****
: jiKa* , t...:. ' J ECt O+ : F „ TO
COVER * : {n::3,:g:) :
91
: <
HOUR NOTICE y;t;{_-?aiU `. ...,.i?::. .s;:}.:h ai•jt
7 .. .. .
. :AA A I :'IANt you .y.-j(..j7.,,:'jt'i!t'Nr:..:9`•a•J':;?'7.'fi' Pi'j;•jr r* 'i':f'1•`,)t'n 1i'.,:,'..j;..
SPECIAL CONDITION CHECKLIST
Project
Address: —_ Project# Use:
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:
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: — --- —