1990, 12-05 Permit: 90005183 Sewer 4111111►: irrrrrrrkt
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SPOKANL %;OUNTY DEPARTMENT OF BUILDINGS
1 W.1303 BROADWAY AVENUE
I 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
: :...EC:: I NUMB.t.IE R= `;?:j';005 133 3.,!3«•1 ? 4.%?:3" Sri ..
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ISSUED PERMIT '
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, PLATO= 001393 - PLAT NAME= KOKOMO TOWNSITE
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OWNER= .R..4.Y PHONE=
WA ?.. -4:14
ADDRESS= SPOKANE U A 206 ...
, BUILDING EETBACKE : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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. ADDREES= SPOKANE WA 99206
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PAYMENT DATE RECETPT-O PAYMENT AMOUNT
' TOTAL DUE= , 00
FEHMi ,. .: -E2 FEE AMOUNT AMOUNT P;:-..-C1D AMOUNT CWINi.;
ELwER PERMIT 50„ OO 50,00 „00
4:t)t.:4::.S:::?::.D BY : JULIE Sr"st.:, !.? t.i
PRINTED .,..::Y : JULIE r H t•'11.T r.;
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UTILITIES .L3EF't'•?f ? MENT (4 c Y 6....3.6-: 4'
CONTRACTOR OR APPLICANT .4.: TO FIELD LOCATE ¢:ii''!.i_i CONFIRM THE
3 ELEVATION A I•r!3 POSITION OF SEWER STUB i-`i• .i.-_ TO ;"{ v`7 OTHER
1 EXCAVATION
DIGL
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'.:...,tit::.R', EiUT4E ARE TO BE CHECKED i {t•- _I CONNECTION I_C ,i URi..
THE? :...` t••4.:;'< s'j;jUNOBSTRUCTED �•� SEWER .; IN
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SPECIAL CONDITION CHECKLIST
Project
Address: _ Project# Use:___
Dept: Date: Condition: Init: 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
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 0/0 issuance:
Owner/contractor called regarding the return of plans: _ — —_ . Date:
Plans returned: _ _—_ _ ___. Received by: —_ _
No response from owner/contractor-plans destroyed: _— --- — ---