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1991, 03-18 Permit: 91001153 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,provi •.ns 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 TCATION OWNER OR GENT — 110011141. — DATE 3 13 ;•` ii.i"l..; j NUMBER= ;: ! :t l:%1 1 ..):.! IEEUED PERMIT DATE= 03/16/91 PAGE= 01 .,!._,r y,.•P:3h•t!;'!!.•:R'3C 1!.t!.al.*.}!'P.7!.!H 9!1t tk )!1t•)!•it:h P..,?• ;.: , #'^ i i INE0RMATIoN jt.:x.ai•jt 9i.'Pr ttj:ittj;!i P•:,:.;F i!!r tt`r it. ..7.....Y. 7. ....1. .. ...... ADDRESS= ,ç'3'`cii•,f+'•i Nt::. WA 99206 PERMIT! i.j,.:!....... :.:•#::.idl t::#"•. CONNECTION NORTH _'•..!,?#`.,i.-i!•.t i..1 .j(..ji.j!; :.:•1::.F:. NOTE R'14 !r PLATO= 001393 t•;t...r,.... NAME= t?. ..i;<c:iMO TOWNSITE BLOCK LOT= :••,rcl•'r.f.... ESA= F WIDTH= 102 DEPTH= 135 :i,: OF{.' B. t:t:.r.... 4 DWELLINGS= '! !.t{•:t { E 1'°-. DIST .... OWNER- STANDIFORD , RICHARD J PHONE= 509 926 3424 STREET= 10606 E 20TH AVE ADDRESS- SPOKANE WA 99206 BUILDINGCONTAC i t'�.E�i!'{#::.:::: s°.+.i.:#"!Fi t':..t7 ,, ! (_:i'*1 i? i i••i..1#.,;i., �:...:• : i '' e:5 `i.t ';%.t.i SETBACKS : F +O` : N rLEFT= ; RIGHT=. { REAR= Et ; : N i. 3!'r !r •Yi.j¢'!!i•Pi.jj.**ej..Pi'7!i:P..pi it j,..j,,.j;.:t!:')!j 9!j•)k ;• :•..!..'AI!.. .t pERmIT ')tr ji•;'!;•jt;}!;•ji•;!;•;tl;'Pr Pr')!i')l''Pr•Pf:a;•1!;•j{•;i!}•11• tr;4"dr•ii: .!!..1,: CONTRACTOR= OWNER PHONE= ITEM DEECRIPTION QUANTITY Amt PROCESSING FEE 1 ,:) , 0 , EWER CONNECTION 40 , 00 :n.:•.:'.:::'.:,'.::::.i.:'.* :ii:,,::'.:::,::,.::,i. :::::,'.:: ..ij....:j.:....:j..}j.:j.:j.:j.:j.:j.:'. i.yj.:'j.: .:'j.:,,::'j..ij.:j. ,., !!,p. )!H d. .!.,: R.P.:!. )!. :,P.}!.! P.P.:t.?!'.'!:.p..;t..�..;}..?!:•p;-p; i't.i y t"i!::.!'-� # :. i..i 2`j i"j f.:?,•t;-i :t+:9t:'.`! ...t..!.7... K 1. ..7.7.7.f. Y.P.';..... I!:': .. ,. ..:.3. PAYMENT DATE !,,...i.:#::.t.e`.: t ,,,, PAYMENT AMOUNT 03/18/91 1307 50, 00 ................................................ TOTAL DUE= TOTAL PAID= '.} .j!:•j PERMIT FEE AMOUNT AMOUNT t ! Ai..i% AMOUNT OWING ..'I::.iA7{::... PERMIT 50 ,00 50 ,00 .. •It.i 50,00 50 ,00 P R t.!t_•E,.: :•#::.i, ):5 , : tn,;t::.i d,#::.#... : GLORIA i.:,.,. t '•) I t.. i; :c i':/ : ,,I,.. ,1;i C.i GLORIA 1+i!::.!-': STUB AE—BUILT INFORMATION ...:.. AVAILABLE !".,i i UTILITIES DEPARTMENT (456-3604) CONTRACTOR i.t R APPLICANT IE TO t.:.t.i::.#....i i' i.'•i.,{:a..!.t:• ;��i#``i 1.? CONFIRM i i••#i::. ELEVATION AND i..+::!. # ` 'iy OF .',EWs:. '. STUB Fi...PRIOR TO ANY OTHER EXCAVATION TO, t '';..;)..! ; ,.. BURIED CABLES , GAS N#.-. WATER .... .i'•ii:•.Ei_, CALL BEFORE RE t,. 0 1:!...G (456-6000) SEWER STUBS f'i:°:#::. TO BE CHECKED r;': i„fR i i.i '�� ) i i ii'@ i L.i INSURE AND UNOBSTRUCTED # t!A ! THEY f.R CLEAR E A r•a'd i! T '`i..I'': W MAIN Tt:;'!•9!:A:)!:;k:!••7k* CALL '”O R INSPECTION E i'!'':.#,i,t R TO,i ji* ••j!i)1'•***'a: 9 ; 79 ; N; iM24 HOUR 1 : { # REQUIRED j!;.jj.t,.r.*.P•*'Ni ftr•JE .;,.*.)k !i'!`i 4!j)!:Pr i!: 456-3604 3ti .}g:!!i')!i i{'7t•ilti'jY K :i..ii.:i.:,i. :,i.: :'.:i.:,i.:i.: ::,;.:i.:j.:•:,j.:,j.:i..j!::j.: .!::•:j.:j.:}. :,i..lj.:,i.:j..ii.:'F.: :lj.::j.:,;. }!.)::v)�.?!t!'4!:'}k'7t:'7!':!'3i•!k:n:i!: 9!: THANK 'i 1-,i i„i ::..1-.7.7t....1...t. )...3!'7.7.).:! ...... }.....)....... :! ..:. . . ' SPECIAL CONDITION CHECKLIST Project Address: _____- -_ _ prmject# Use Dept: Date: Condition: mit: Appr: { | (in) | (out) _______ Dept-of Bldgs. | . i ___- _ -_| _ _-| Special Insp.Final Report | � ! ----- ------| -- — Hydrant( ) -- / _ Lock Box _ , , � ` | --- �— -- ! -- — , � . _ .� ` ______ ' Engineer's_ ____. _ | | RID/CRP ' ' '-' ' ` / ' _______ } _ _ --! Eonemenm' ' ^ RoadPlans/Improvements --| --� _____/ __ -- Bonds ------ ' —�- ! -- �- ' - ' — — --' ---- � .'` ��� -/ -------' / --| -- . .'. ---' Planning �__-| � ��/ _-� Bonds _ �� `� �� ' . ` � ' .' —���-�_-_r� , .' `� __ � � ^,' . , ' r�-- ----- / ! --| -- -- -- -- -- --| -- ` , / -- •` ~ Utilities Double' ' | _-� ouuN*plumNng UuD ' • -- ---! -----�/ --! - � ' — � — - Other_ ------- -- ! --/ -- ' - � / --- ---- ! -- ' __ | ----' -- � , � --- ! — --- , • ' ' ___ _ ___ __ __ _ '^^^^`'^~~^' ^`~^^^^`^ THIS SPACE FOR COMMERCIAL PLANS rRxCKowG.oEnT|�cATsopoCCup«NCYh�Ly"~'`^^^^`~~ ^^~^`~^^^~~~~ _ Date received for C/O processuig ______ � '�___ Plans pulled for final pmn"aing„ , , � ^ -_ __________ Temporary C/O issued:, Certificate of Occupancy issued: ° D#n:n$�v�wb� ` ' � ��_- __ Date: Filed inapnnawu by:____ ____ __' -_- ___. Date: __ _________ _ _______________ _____________ ___________________________ Ninety days after C/O issuance: Owner/contractor called regarding the return ofplans:_______ __-______- Date: Plans returned: _____ ______ __ _-_ __ Received by: No response,ospo"nehnm owner/contractor plans destroyed: - ____-__-____-______ __- ___-_______