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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::.. ,?.. ....::...... .. .::':':::.'..�....::..:.::::........ .. :..... .. ..J. - .,...... . . .......... ..:................ ..........:..:......F,..F. :_:...,.:„-: :::t".(•`: ,"1.'+:k.ji.:p.�{.fir.j}.9}"1t iFc c+f"1i'li':ipr 1:r::.:.;- ::j.;;.4i F:h P.1::-.9?::r�.J.J....,L : _ i,t ITIE STREET= 11420 E 17TH AVE . i..l t`.i fitR i...[.:•:G::.: SPOKANE {u A 99206 PERMIT UfE- SEWER CONNECTION — NORTH KOKOMO .,.. ,._. 001393 ::.iii=.C;ii`'}i.i _ i{ut ?. i r-' 1 [ . CONTACT1 WATER D SI ADDRESS SPOKANE WA 99206 NAME= LEONARD PHONE NUMBER= 509 ... .. ... FRONT=zuILDINc„.; SETBACKS . :: .. ..::'.:,:::.[. ....5...... ,..,.. .,:.. :i.if.. •.t is(F..{ .{(..,{..1F:'P::°F:')?"h:'P:.ir..P:.lt:it: il:'I.r.:1,:..;;.ij.:, ..''F •:' iF:'i SPECIAL CONDITION CHECKLIST Project Address: -- Project# Use: Date: Condition: mit: Appr: ! | | (in) (out) | / � -----'— --| --| ----' ----- | ' Dept of Bldgs ! | /_________ Special |nop�Final Report - --i Hyoran ( ) / -- ! --| Lock Box ' | -- —� --- --! ! -- -- | ' -- — — — ' | Engineer's � __ RID/CRP Easements ! } / ! Road Plans/Improvements — — — — --| _ | Bonds ---| ' -- ! / / --- ' | � Planning Bongo- | / --- ~ -- | / | ! — -- --! ----- --| ! -- ---- — | -- ' Utilities DnuWePlumbing UL0 � ! ! / Other | � | | | ! - THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE orOCCUPANCY 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: