1991, 02-19 Perit: 91000524 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 o 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 .27_1,_.dj
OWNER OR AGENT /Lii 4
. � �J - DATE G'
Of
:, t . _ NUMBER- 9 - : a5' 0::2/-
ISSUED PERMIT
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SITE STREET= i5G06 E 23RD AVE PARCEL4= 25542-0707
ADDRESS= SPOKANE WA 99216
PERMIT ext ....iNN1...... . ...»!i'i RIDGEMONT ESTATES NO4
KK:r:' SEE NOTE
BLOCK-:; ZONE-
AREA= FrA= F WIDTH= R4 DEPTH= 124 Riw-
LHNLLt H NE 50,2 489 4260
ROSEWOOD
ADDRESS= SPOKANE wA 99200
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CONTRACTOR- DOUOLASE : LANZCE G PHONE- 509 4:.::z9 4260
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PROCESING FEL 10 ,00
pAymENT
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. ,.?"Y'?4i . t-+. v:,e". i f i i.f..,I... PAYMENT I.I i
.02/19/7.: :...:''' 50,00
TOTAL DUE=
PERMIT TYPE j..
T M U ; AMOUNTPAID- ? . .N . f
. .
70 ,00 SEWER PERMIT 50,00 50 ,00
00.0
PROCESSED : WENDEL GLORIA
PRINTED € - dd l...f'.D$:.1...J GLORIA
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SEWER STUB "4i: . B J . i
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UTILITIES
DEPARTMENT i MENT ( _:5...,.... ..6R:!•�)
CONTRACTOR
fN RA. iR O' APPLICANT .i.:.`.. TO FIELD LOCATE
POSITION
CONFIRM THE
ELEVATION ,� i _. :W! ; PRIOR
EXCAVATION
"i T ?,::t.:.C::t :.: BURLED—CABLES, ' G i+a;F:'r!••G, i. A f RR_. LINES,- Ft:;T:.
CALL BEFORE YOU DIG (456-8000)
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Yr:?�:"i i,,�t+L FOR r,�.?...i t...}... t, r! i TO ... '.E 3:R J}
i * , s 3 .4 " : YHOUR NOTICE iCt ? E, r; kNJ .t$ l
456-3604 3'Ji:'ir5k*"}j":a:it'i}:3}:THANK ynH
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SPECIAL CONDITION CHECKLIST
Project
Address: Project#---____--
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp. Final Report _
---------___._-- —_-. __ Hydrant( ) _ _________.--___--- -------___ _—____--
--_
Engineer's____
-___ —. 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 tinaled 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:___________________ -------