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1991, 05-16 Permit: 91002657 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE,WASHINGTON 99260 ) 5 I certify that I have examined this permit/application,state that the informationO�conttained iin�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 cified hereintor not.Iincluded unde stand that the issuance complytswith permit/appl e.All provisions tinand any subsequent in spectiances onvapprovals or Certificates of be Occupancy give authority to violate or cancel the proviSigs of any state or local law regulating construction,oras a warranty of conformance with h the prvs ons of ny state or local laws regulating construction. shall not be construed to SIGNATURE OF OWNER OR AGENT / APPLICATION - l DATE �' *Y:.*********•Ji'x•.ii..H..i;..j,.it:.....}t.}r.:,,;.ji'. h•j: r DATE=... . .... PAGE= 01 ,.,.,...:.,... STREET= .,.;..(..,,...t � : .... INFORMATION J.!};..j?•.jA p..i�.•j,.•.j?:.Ai.3•.r•j,;•j(•J�:•1L''Pr Pr�1!:%f•:i,:.y.:,;,:j,:.j,: 108 E 17TH AVE 07 ,.t.. 1.?(r::•,t:tf�:. tAt r.:• 99206 t±°:z.:t::.L ',,.._. 2854. ,. :.. BLOCK= iP_.t:.-:: {;l,tt<,;.}%ti iifii`:} ' t... 4 OF l;.t AREA=" ..., (i,:::: F ••,WIDTH= 1 t, DEPTH=, i .y,.... i::' .1 ,... , :, AGE OWNUB ::'..)t.r•J.i::.r'�13t::.i{%•r , CLYDE" : tR , 7TH AVE ADDRESS= EPOKANE WA 99206 CONTACT NAME= CLYDE SONNENBERG PHONE NUMBER= 509 22A 3779 **************************,g** ,;..;.;:;},?:u;;7.•.k.�...r.?:....�t..p.... .ri..j,,...hi. .k a'•P:•a•.,i If Pi'Pr :.. t REAR= r.f. SEWER. ...•±::.R±''±.l, t ',!••)1.j{•.t•a-N•.L•Pi a••Ai fi'•j,j;n::!.:.:)'.s•.:•.s CONTRACTOR= OWNER .:•'i�: ITEM DEECRIPTION Pl.tt,..:,...,.:,.:?.rN :f FEE y 10, 00 AMOUNT ,.._�........_� ******* *********4****** *** ,'..j1..;,;..j,.p{..�..j,:.j,.:„i ...'..H:..:+r•...•j{•92..x.:..p;...•P:•.......:n:•.... C:'::+:• 40 , 00 , NT PAYMENT DATE .. .. *********:k*** *),-:**** 41...1.:t:_I.P €•O PAYMENT AMOUNT 05/16/91 2969 50, 00 TOTAL DUE= I;)f•j TOTAL PERMIT TYPE FEE A AMOUNT i::.t f,�,f;...,, PAID= !•j i-j NT OWING EEWER PERMIT P50,00 ` i't i i ..:e... ,.:•t::.= SPECIAL CONDITION CHECKLIST Project Address: _ Project#_ _Use:______________-__ Dept: Date: Condition: Init: Appr: (in) (out) Dept,of Bldgs, Special Insp.Final Report--------- Hydrant( ) —_------ --__ — — — _—__ Lock Box____ _—_______—____ ____________t_ _t__—______ _ — —_—___ —__• ________ . . -- --_—_— _______ —_—___--____ Engineer's______ ______ _ RID/CRP ___ -- • . . ____• __— Easements Road Plans/Improvements--_____ _—;---___ Bonds _______ _ ._.L__-----__. __ _____ . . _----_—_______L-------.---__ --- -- -_____ Planning—_ _____—___ — Bonds— . — __— __ -- __ ______ ---_—_—_— _____ . . __ _____—_ — —____ _ ______ _____ —__--_-- —_ — Utilities_ _ Double Plumbing • • • _ _ _____i_ ____—__ —_— _ ULID —__-- - -- ______ — • ___i____--- —__ _______ _____ __- -___ ______ —____------ --- -- -- Other_ —_______ ______— ___. __—______—______ _____7_ ---- — --- ---------- ---- -- — --- -- •— _____— __ _._—•—______ --- . . — ----- — — —. —_ — _ ____—_-----_ _—_—_— • - • ii __ i i• __ _______ _— rnrn - • - . . _ • . . . .. . • . . . -------”*—*******—*THIS SPACE FOR COMMERCIAL PLANS TRACKING CERTIFICATE OF OCCUPANCY ONLY . . . -----. -- - * -..-.* m--------------m . . — 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 CIO issuance: Owner/contractor called regarding the return of plans: __________— . Date: Plans returned: Received by:_____ _— No response from owner/contractor-plans destroyed: