1991, 02-15 Permit: 90006554 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
9 certify that 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
.... .. ... ..... ...• ... NUMBER= PAGE=
ISSUED PERMIT;
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AFF NOTF
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BLOCK= 2 LOT- ZONE= AGSUB DIST*= i::-
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OWNER- GRAHAM, :+A `i f^ E i`t if t';i & BRENDA L PHONE= 509 . ........
ADDRESS- SP6302NE WA 99206
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PB PHONE
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SEWER PERMIT 'tt.• t... t...:... Ri •N •11• !. ..... i J 'P^7
CONTRACTOR= ENVIROTHARn TW -7' PHMNE- 559 924 9597'-`
STREET= PO BOX i41557
ADDRESS= SPOKANE WA 99214
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ITEM 1 i::.'s. t.: E"•..i. i" i .e. O .`.i Q U i"j f`% T
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PROCESSING
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SEWER CONNECTION
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PAYMENT DATE RECETPT4 PAYMPM7 AMOUNT
-------------
TOTAL
! : A i, :.: is TOTAL PAID= 5 0, 0
PERMIT TY:.::..FEE AMOUNT AMOUNT PAID AMOUNT nwTmf..
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UTILITIES i !t•.}.:r:±I.;.' y M i•T (456-3604)
CONTRACTOR OR APPLICANT _IS TO 1 I; vi.' CONFIRM
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ELEVATIOU,AND POSITION OF SEWER STUB PRIOR TO ANY VTH&'-_'
EXCAVATION
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THAT THEY ARE CLEAR n
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Project
Address:
Dept:
Dept. of Bldgs.
Engineer's _
Planning—____ _--
Utilities.____.__
Date:
SPECIAL CONDITION CHECKLIST
Project
Condition:
Special Insp. Final
--- Hydrant ( )-------------- ------ ---- ----
Lock Box -- —--------_—--
__
RID/CRP__--
---
Easements---------
Road
asements _ —. —
Road Plan sflmprovements
Bonds
Bonds
Double Plumbing
ULID _
Init:
(in)
Appr:
(out)
...... *"`"'""*"'THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OFOCCUPANCY ONLY
Date received for C/O processing: Plans pulled for final processing: ---___-----------_.________-__-- -----___.--
Temporary C/O Certificate of Occupancy issued:_._.-------__�__----------------______
Office file review by: Date:
Filed insp finaled by: ________ _ _ Date: —u --_---------
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:------��.�____. —___._--------_-___----------__-_-__ --