1990, 12-05 Permit: 90005681 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
0
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SITE STREET= 11020 E 20TH AVE 20542-2704
ADDRESS= SPOKANE WA 99206
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PLAT a•
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CONTRACTOR- H E CONSTRUCTTON . PHONE= 509 926 6964
ADDRESS= SPOKANE WA 99206
iiEM f.7.i.UANTITY FEE AMOUNT
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PAYMENT DATE i'-.i::.t.:';: i P,::;Y'.i^,i`v T :-a M,#1 ±'.+`_•.
12/05/90 7704. 100 ,00
TOTAL DUE= 00 TOT. Al.. PAID '! i;t;,' .
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SEWER STUB AE—BUILT INFORMATION AvA.I.LALE A ; rOuNlY
UTILTTTES DEPARTMENT (436-3604 )
ELEVATION AND POSITION OF—SEWER ETUB PRIOR TO ! OTHER
CABLES,. 70 LOCATE BURT.ED
CALL BEFORE YOU i
SEWER STUBS -ARE TO.. BE CHEUKED iU CONNi..LUiTUN I ,,,rt i.:
AND UNOBSTRUCTED TO THE SEWER MATN •
3!:3+.:+3:'A:3`.3;•#:Jt:4:: CALL FOR CLEAR-INEPECTION PRIOR .. COVFR **r b h a:•Ai}:*.R.
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.,..Itr:;+:•Jt•Jt,}.:#3.J,J:r:r?gr:J,.:):ri It J+.r:J::. r;):J-.r, THANK YOU iU
SPECIAL CONDITION CHECKLIST
Project
Address: _ Project# Use:
Dept: Date: Condition: [nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( )
L_—_ Lock Box v_
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 0/0 issued: .Certificate of Occupancy issued:
Office file review by: . Date:
Filed insp finaled by: . Date:
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: _ . Date:
Plans returned: . . Received by:
No response from owner/contractor-plans destroyed: