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1991, 03-18 Permit: 91001147 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509)456-3675 1 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 O OWNER OR AGENT ,✓ �� DPAPEICATION_ -`•!'t !„ I NUMBER= 9100 4... ISSUED D .i.T DATE= 03 -i: }i PAGE= O t!..#: i!' I!' i!' I!' )_: J/- i!• i!' )!' 7/' ji: JF ';E' iL' �?' H' lI: �!";1: 'Jf )1' Jt' JI' Ji J!"J!' PERMIT INFORMATION H. �1. r..jt..N. 1+. p. j,:.}i• P: •;t Jt tit• �)t• Jt J )t )t• •1?. •}e• j!• •;t• Jt )E• it• P: 'N:' �li• SITE STREET= ! s E 24TH AVE I''f•YI•{f,1-.1...O= 28542-3230 ADDRESS= SPOKANE WA 99206 PEqM;T,USE= :I:Nt'T!"YL..L.. SEWER CONNECTION FOR DUPLEX 001393 PL..F4_i. t`•i±-YI"'1E::== 1<:r•NKOt`'1... TaiAaN,`.•..7:';'1::. OF BI...Dix;:= 0 Di,1l::.1...1....ENG.>= i WATER DIST :::: OWNER= I..IfiN,"s` N, in{AI...DO E.;.. ;::=E'IONE::== 509 926 2239 STREET= 100810 N MAMER RD ADDRESS= SPOKANE WA 9906 CONTACT NAME= ,.? A t.. O T:i ,'• EXCAVATING PHONE NUMBER= 509 924 ::..., } :::'s BUILDING 1`}i=Ti::id'aCKS : FRONT= NA LEFT= NA E<:l:±:;;..;'T= NA REAR= NA P: R' '!C 'P: '1C ?+: 9+: •#: •P: •P: 'P: '#:.)!• j,...1}i ';=r '#i tit' '14' 'Pi ti4 ti!i •Pr '}�:..j,,..j,: 'Pi tit• •F: SEWER PERMIT E:.'tMT.i.y,..�..y:.j�..p::)i..jt..j�..jt .j,...jt..K.:,,: �Pi �;i• iC -Pi :,: -#:• �;l iu: 9!..J!..}{..jt..j{.:n:.)!• •Pi •P: CONTRACTOR= :.? A t.: t... ?: { ,: EXCAVATING PHONE= 509 . a 23555 STREET= i3420 E SALTESE AVE:: ADDRESS= SPOKANE WA 9906 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------ -------- .........._.._......_....._._..-- PROCESSING FEE Y io'00 �,..,,..,,..u..#: 'b:..j�i 9ti .jl..j,..14..j,..:J,i .Pi 9l..j,..A. at •#i 'Pi 'h:• ;!' 'P1 1t' 'N: '#: R' •P: 1•r #i ay. PAYMENT SUMMARY P: 'P: 'P: '#: 'P: 9{ 9,..y,: i�: 9!' P: 9!: 'Pi 9k •;l• •Pi 91• :4 j=i •#i .j,, .J�..M..,,..J,..�..J,..J,. PAYMENT DA t E RE:.C1::..#. P O PAYMENT AMOUNT 0308:'9i 1303 50100 TOTAL DUE::% .00 TOTAL PAID= 50,00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT 1' i,ii 'i'••ii( 50400 400 PROCESSED B Y : JOHN N I...ARSON PRINTED BY: JOHN LARSON SEWER STUB AS—BUILT :N"!E~ArLfN IS AVAILABLE "T THE COUNTY UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPLICANT IS TO FIELD LOCATE A N t:; CONFIRM ••L•;..I I::. ELEVATION Af'•:I) POSITION OF SEWER STUB PRIOI? Tt:::i ANY OTHER EXCAVATION TO LOCATE BURIED t.:r•";SL_E:.S, GAS PIPING, WATER LINES, ECT. CALLT.:;E::E� ORE:: Y !..iii T I (: ;_�r;.... s0!:j0 :.W.:.'ti STUBS i_Ij: S i'•YRE TO BE:. CHECKED D I::'I":.LiiR TO CONNECTION TO .I NS{.. RF. THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN CALL FOR INSPECTION PRIOR TO T (:;t, i:,;I::_E;= 4 HOUR 1'+I[ iT.ECI.:: REQUIRED •_•56—,^,60-:; �!' r: I!' :4• :R' h• }�i ;yi :!i t�!• •i4 ih i��i';G 3:. :P1:1'i •;'i :)'..•yr. !}.?k: 'Ai 9�i :�t'tE •!Fi 1'•'Pi •;(• •iE THANK i,.t 4,.1 ............... c�.:)!• )=i ti,.• ti`i 1t tiE'r• iii •hi 'Pi ti=i 'R• tiC iE 1t til• il- iR• $=i Y• )� tiE :��: ii• it •J=::=r :�r, •tr :�r it •J=: SPECIAL CONDITION CHECKLIST Project Address: Project# Use: Dept: Date: Condition: !nit: 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: y. Ninety days after C/O issuance: Owner/contractor called regarding the return of plans: Date: Plans returned: Received by: No response from owner/contractor-plans destroyed:_ —