1991, 06-11 Permit: 91001814 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
..,}_. }...t1 . id!.:t EBi"' . .,. ...:._ : 'v .._ _ISSUED PERMIT
***** *********:.6.. ***** ** ** FERmIT INFORMATION **** *:*: F $iJ!i 3i $t . t) ::)'. c 9 . :::;.
ADDRESS SPOKANE WA 99206 -
PERMIT USE= SEWER CONNECTION — . .
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ADDRESS=t. SPOKANE !:ki,? 99206 -... _ ...
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ADDREY;E:,-, SPOKANE WA 99206
ITEM DESORIP7TON QUANTITY FEE AMOUNT
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- 06/11 /91 70 , 00
::
PERMIT .,.:,.. FEE AMOUNT AMOUNT PAID AMOUNT OWING
50 , 00
PROCESSED BY : JULIE SHATTO
PRINTED BJUL.]:
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SEWER t E t T INI-ORMATION TS AVATIA.BLF AT TUE
COPTY
DEPARTMENTUTILITIES -
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POSITIONELEVATION AND
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER i Er:7 ,
CALL BEFURE ' YOU' DIGHA .,--6000-)
SEWER STUBS ARE TO BE CHECKED
THAT THEY f i t'j.... ' ::.. !...!.i:' f•. ..! - .:-.:r... }_ ;'?E ;i:'.Ehk t. .i i• i '
icAf:***:1(: ** CALL FOR INSPECTION PRIOR fN COVER ******:****
ii.- ******* 24 HOUR NOTICE REQUIRED
:�.:�.iv )-.r.:::::.:". ry r-.:.:?�•.)+)?.•.�:}., !..i?:., !: !..:,:•. r,�.:..:?:: .:
THANK ... ... :. .. f. ). ..:.:.e.:.....i'•:}?:*'t 0'is**:'T'ii-:..
SPECIAL CONDITION CHECKLIST
Project
Address: ____. _ _ Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp,Final Report �.
Hydrant ( )
Lock Box
Engineers___ _ — RID/CRP
Easements _
Road Plans/Improvements
_ w 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: