1990, 12-12 Permit: 90005919 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
PROjECT NUMBER= 900059i9 DATE= 12/i2/90 PAc•F=p
i
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_,,,OKANE WA 99206
BUILDING SETBACKS : ?• i'C t.? :! : :::. : .t
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' PERMIT TYPE AMUUNi AMOHNT
SEWER P!:::RMIT
•
, :Y _; , O, t. A : : ,r ` I ? FitLD _
ELEVATION { : } POSITION OF SEWER ETUB PRIOR
ANY JFHER
EXCAVATION
... :,-: - . . ....i. ...... ,
..•1-i?...?._ BEFORE YOU DIG ( 456-8000)
.
STUBSi ARE O BE, CHE., ;D r'•I'•:.?.7,;R TO CONNECTION., T0-,,INSURE
THAT THEY iE ARE CLEAR AND UNOBSTRUCTED TO THE ,5:EWFR MAIN
::a n.: :ji.*.:G*K31 FOR INSPECTION i"•t` ?.t..JR . TO i4_ ?�,? . t!:A'N..4:4:4' lP.p,yq.
.-jt t; t;ai { HOUR•tNOTICE it`.'***9..:.}.!?-i...•1t
REQUIRED
....r.•.p..r.*.* •*..}. . . 456-3604 _ - i+I-13 .t.7+. .+.I. i•+i fk 7!r:'-i
SPECIAL CONDITION CHECKLIST
Project
Address: ____-__ Project IL Use:
Dept: Date: Condition: mit Appr:
� ! �
(in) ! (out)
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Dept of Bldgs
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| i Special |nop Final------' - — -- - } |
Hydrant ( )
_-- -_ __-_- ' __' Lock Box
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Eogineero--_- | __ RID/CRP -- '
-_ -_| Easements
____ } -_' Road Plans |mpmvomonts__ ' |
/ | | , .
_-- -- 8onou_
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-_-
Planning Bonds
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unmies | / oo"b�Fvmn�ng
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ULID
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Other
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THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE opOCCUPANCY ONLY~'~^^`'^```~^~^~```````
___ _
Date received for C/O processing: __ . Plans pulled for final procesmn:
Temporary C/O issued:_ ____ - Certificate of Occupancy issued:
Office file review by: Date:
Filed insp finaled by: Date:
_ ___ --
Ninety days after 0/0
__wi"etyuoyoaue,o/O issuance:
Owner/contractor called regarding the return of plans: _____ Date:
Plans returned: __ __ __ __' . Received by:
No response from owner/contractor plans destroyed: