1991, 03-05 Permit: 91000781 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 per • application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions a y. at or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructio ,`
SIGNATURE OF � APPLICATION
OWNER OR AGENT v DATE
ji•3e•i.R�.}!...!a:t::`.:`c t::.,. ::.... .. ..?. .. '. 5:.. :..... .-. ..*******if.,** .j. -. ....
»...1.'t_.... _. ..I_Ei. :. 11510 ,... ....w t i.l .i.i tl i... ...-.. _._._.. ..-.. _ _. ...a^. .. i...W- t `r .... • ... 1'....
t t S.1+:.1 i ....». - i..i f i i } a E_i4i _
3 i f i,14 '3 P r
t t_ ta,�.t�i F, }..';r t< t �F t e• 4 :__ .
DEP itf !1• i tI3.t ;t D (""�,?.... -
r '
.. ; J14irk l.h a. .i.•1 JI - .. .. .._. .... .. 30.9
f» i -!
s .:
NA
G ! _.::.}1.{._x- ,3 T%. .... a:._. ?,t:, +;.; .%.:E.i T _..N'; t. -i;'.^r'{7-: ._ r.z ?ta..:AR- A -- ..
jS.,,`.9:4!•r.,.1..'.S. .!..1•:)':.i 1.L.}.a''......,I.',,Y , i-w 1 1... E i T t 31 )11 ,,. '!i-It•j( Vii•9t*1`:•;it•;i{j- i-t*.I!-,!I{}!>R ! ,-,j;'_!.j,,}
' CONTRACTOR= C H—D INC PHON .ff-'1509 926 5T29
t-!#. -„`
ES-,L , POKANL WA 9924.Z -
i')'j}.r:•rn:n{'R,..-: 1... }... .{j!!.,:'R..t. .. ...: . ..':•Jt•t 1} P 1t•. - s{!,...!?.; s.ummApy '!! t }.,.: }{ }i.is .-:9...-!i. ,-:R..1.:0.•:rt.P n 1(..:. f}:`!:?¢T:
t ,-;11 1111 ,
P EP;11 i f{ `..:. FEE f f.:11.1h,7 ? 1:.3 tnt. . , i,T. i CI tiNTT Crbi
:1
;: Eti x1 •i ! ,t i
_i»l/'_.1t '.. ' t:? ' —BUILT INFORMATT0N AVAILABLE OT THE !.. .. :.i -
f ?..1.. ... i ..l_.... t .-. : 111...N :'
I t'"i 1 :', t.; OR APPLICANT -F ..i.. LOCATE A 1V{1 :d!
"(..:t f:'t• •.1' AND .i,.. 'i. '. .} 11$v�:._ -. ANY} 7f_. .
t }I• LOCATE u £ !i tj! t t SPIPING), y'(•y 1t i 'vF� I ! `
t. ft1...t.:. i'.f�'..T...;?.Y.. +', ..I }G <- 5 .. zx 0.} ,: ,':.. •J ,e/-i? ,• ,-
_ _. .r.,. - r.., .:.,.E,. r• a 'y ,. _.. ..
..R. AlJt.34 ft } i f } !}`i t I r . t v ! f 1:lt'C`�._.70 ]-T t::"s�
.*f.T. r '.. ', ?: }...'�.:.R.-if-4 ;:414l, .% 11;T'{b1. ..� }..SLI r : 1.. .. TO T 140 i i4f.R; T,ty
} } R 'P' ! }i'R coLL FOR s11 { ,} t �!I TO COVER E 1 ) 3' A C JtR:i R }
.. _.._.,-.. 1.:{.:it•it}C Jb},t;..,: .... .;:..�: r... i..i 's...�l., Fr.q7.t c:.....i rtr..}.` 1!•jC..j{',. ..
******************************* - THANK }3'� .. ::i...-f:J:'*';'.'K'. ,yt:! ,;`•:!1:: -X7i Vit- •j..t:n.I.9-H.j. }.:}'...I:a. *
SPECIAL CONDITION CHECKLIST
Project
Address: —_—_-- _-- --_-- Project#_ __ --___-- _Use:-------___--- -_
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
_________________ ----- _.______ — Special Insp.Final Report_____._ _
Hydrant( ) ___
Lock Box
-------------
Engineer's______ —_-- —__-- — RID/CRP ---__--
____.—.___ Easements__ .__ —_------------____-- —__--
_______________ _ _____ Road Plans/Improvements ________ _______
_ Bonds _
Planning ____.__ — Bonds — __—
•
•
Utilities __ --_____- __ Double Plumbing !
— —_—_-- U L I D —___--
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-_____ - ---