1990, 12-07 Permit: 90005815 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
•
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BLOCK- 20 LOT- 4 ZONE- AY7H7. F
•
DWELLINGS-
STREET- 10b16 E 22ND AVE
ADDRESS- _. ...ii.:-iN:... .., 99206
CONTACT
NAME=
•
BUILDING 'i
IEFT= NA RIGHT= NA REAR= NA
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^. PHONE- 509 924 5595
N !..
-ITEM DEISCRIPTION QUANTITY AmuuNi
Y 10, 00
CoNNEciIuN 40 ,00
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..'}r�....:'}t:,... ..,. ..:}::}}:.. .. :>::.. .. .. .+. :}.}r ....3-.r..�:e..i}r y}r,. .'`r:�'4•. .,... �? . ,..t.F^t*!r'3 ia,'•�' ..j;.
50, 00
TOTAL :••.
UE- ,00 TOTAL PAID- 50,00
PERMIT TYPE _ FEE AMOUNT AMUUN ; FAIL) AMOUNT OWING
SEWER PERMIT 50...00 50 , 0G ,
PROCEEEED BY : JULIE EHA7, TO
PRINTED JULIE EHATTC‘
AS—BUILT INFORMAT7ON TS AVAILABLE AT THH Cfl:1NTY
. {.. ..r, F} ivy}.. d € ,(456— ,6 .
CONTRACTOR :.:••.
APPLICANT
C1THER
TO L i_,.t i i r. . ..-. •
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::'1`:•:?'?:•iit':.1}i,....::k*...:.,...::•1r i+h')?''.......:')c 3'::....:lir....,. THANK you
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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 0/0 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:_