1991, 06-11 Permit: 91002195 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
:._.t.t{...C , NUMBER= 3 \J'•J.•.'.. ..' ISSUED PERMIT DATE.; _.}. Fi P::.. ,?..
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ITIE STREET= 11420 E 17TH AVE .
i..l t`.i fitR i...[.:•:G::.: SPOKANE {u A 99206
PERMIT UfE- SEWER CONNECTION — NORTH KOKOMO
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CONTACT1 WATER D SI
ADDRESS SPOKANE WA 99206
NAME= LEONARD PHONE NUMBER= 509 ... .. ...
FRONT=zuILDINc„.; SETBACKS .
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SPECIAL CONDITION CHECKLIST
Project
Address: --
Project# Use:
Date: Condition: mit: Appr:
! | | (in) (out)
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Dept of Bldgs
! | /_________ Special |nop�Final Report
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Hyoran ( ) / --
! --|
Lock Box ' |
-- —� --- --! ! --
-- | ' -- — — —
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Engineer's � __ RID/CRP
Easements
! }
/ ! Road Plans/Improvements
— — — — --|
_ |
Bonds
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! / /
---
' | �
Planning Bongo-
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--- ~ -- |
/ | !
— -- --! ----- --| ! --
---- — | -- '
Utilities DnuWePlumbing
UL0 �
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Other
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THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE orOCCUPANCY ONLY``~~^``~`^`~^~'~^~`'````
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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: