1990, 12-12 Permit: 90006288 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
.•.'.J v7 e_.1.: ! t",i.f»i'{#t5 , _ .-• .:
PERMIT
i..i
EEE NOTE
4. OF BLDGE
! UM PHONE=
PHONE M2ER
'Jt`•y'�. `ti•1i'•)4'$?'1$i":'.. ',:..1`r;...:. .. .r iI'iri i...y:.:: ....
pERmTT . . .... .. ...... .. . .. .>. .. .. . ....f.r...,.....
:-.r••. r
ETREET- '10504 VAi,...LEYWAY AVE
PAYMENT DATE PECETPM-',!:
t'S' P FEE .: "'r AMOUNT PAT.,.. .-.
•
P R. Ic t.:.0 ED B •IiiLIE SHATTO
PRINTED [t'f:. JULIE SHATTO
._.
ST.Wf.NZ—STUB AS—BUILT INFORMATION T3 AVAILABLi: Ai iHE
DEPARTMENT ..:... ;
CONTRACTOR
#NTRFCTrR IAPPLICANT TO
FIELD LOCATE AND CONFIRM THE
54rt{
- :.... . OF SEWER STUB PRIOR •t
O ANY OTHER
EXCAVATION .
.. TO -;`, Z( ATE .�'ft-1" j t B _i t:TA r�...} I.i''jt , WATER i. IN moi,.. t...S.: i .:
CALL tt BEFORE
YOU ... —0000)
. .•_t EFdt�' c t+ BE I it ( i {} PRIOR CONNECTION. 1(1.. IIt S.0 F
IIII I =. !'... v {4! f #...� t', eINO S.£ ti t .l tt i i i +i \I .tal I 'tf5 ( 4 .
**-:***41.4:.x n- :t s P.-:... t t G E 1 1: i,(1 ,f t r w I ` I.. . i: ;>::�:-»"}r're;r:-n 7F t> a
.. ....
itr 7E t0..1?';t:i!Y 4?'4j;:' .,...:; HOUR "r F�1 1 tREQUIRED ********** ,_
I ?;itr;:•.r.,:..y...7 ..:......::.......•:r?...�j:,..}3};ri'..iE.. ...._.:....-, r:r- ..
SPECIAL CONDITION CHECKLIST
Project
Address: __ Project# Use:
Dept: Date: Condition: mit: App,:
' |
(in) (out)
- _
Dept.of Bldgs | �
�
-- ----- — ! Special lnsp.Final Report
-------- | --- --|
Hydrant( )
__ Lock
__
| '
—_
! -- -- -
Enginvern < ' mD/CnP
Easements
Road Plans/Improvements
Bonds
| /
! /
| | `
----- - | --�
Planning i -_| -_' Bonds
/ } |
| / !
- - ' --| -
------ --' ` -- !
------ --| i -- � �
| | /
Utilities Double Plumbing !
ULID
| i �
Other
� --|
---- | -- '
) '
^`'`~~~~^~`^~^^THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE oFOCCUPANCY ONLY
'`~~``'~^~~`~~`'``~~`
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued:_ Certificate of Occupancy issued:
Office file review by: . 00te:
Filed inaphnm*uby:__ __-_' _ . Dvte:
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: