1990, 12-12 Permit: 90006191 Sewer owilmmoriota
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
•
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PERMIT UL • SEWER CONNECTION l E a. i a:•�, �.1 .t r• t t i
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SPOKANE 99206
CONTACT — H 6 S PHONE NUMBER= 509 926 0964
SETBACKE.: FRONT= NA LEFI= NA RIGHT- - NA REAR-
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PHONE= 509 926 fs.'7?.964
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A2/12/90
- 8006 50, 00
i . . .... AM0UN ra .. •1t`. PA.LD AMOUNT
SEWER PERMIT - 50,00 ,
50,00
SEWER AS—BUILT INFORMATION y " AVAILABLE AT THE COUNTY
UTILITTEE DEPARTMENT (456-3604)
CONTHAI.,31UH UK
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F 1E {N iE ;
ELEVATION " * i . i : ts . . . .W# -
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,_ f. t'St f t,. 1 YOU E D ; G (456-8000)
_ _ Sitrt- .; ... a f Yt D PRIOR F tt 4 N
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THAT -THEY Ci..,EAR D UNOBSTRUCTED 70 THE SEWER MAIN . . .
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HOUR NOTICE 7+E:Qf i, SS 1r•)?•:K••)t lk:4'*4?':+t•S`
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SPECIAL CONDITION CHECKLIST
Project
Address: __ Project#
Dept: Date: Condition: mu: Appr:
(in) (out)
Dept.of Bldgs.
-_- | ' | Special lnsp.Final Report
__ � { __/ Hydrant( }
. /
_--- --/ Lock Box
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---- � ' --| -- - /
- ----- | --
Engineer's | ' -_ RID/CRP
Easements
Road Plans/Improvements
' ! '
Bonds
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i { /
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pmnmpn �onu»
--! --
-| -- �
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------ -- ' --(
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Utilities --i Double Plumbing
/ | ULID
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Other_
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`''' ^~~'~`~~^THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE opOCCUPANCY ONLY
'`^`^^^^`~^`~-^-^`^''``'
—____—
oa^e received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued: -
Office file review by: Date:
Filed ioepnna|eUby: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: ___ Date:
Plans returned: _---- _ __ , Received by: