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1991, 12-18 Permit: 91004240 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 .. ;,; 91004240 ISSUED: :-:�..,..;._t.: _ NUMBER= PE!'S:M.:. i DATE= 12/i`? .... 9'tPAGE= 01 **********************K***** PE I_ .( ; _ ; F ? Yi N : i1Pj ?P1 i 7sk ii : P (1jti1FRi j Pi .;,•,..Y.,«• 1,v;-,['_r-•,- :.•.,: :., ,." ..a:.•:-, _ : aL'.th - ;_ "? - . 219543-5210,yJy- . _ ' tj ADDRESS= SPOKANE (!;A CY;2+:%,^. ": :" . T USE= SOUTH t _ c( " _ SEWER • ?E : CONNECTION 00.1 393 r#" ::::: KOKOMOTOWNSTTF ARE f • a 4 !t?.. 2;t...A%to,�.... ? 4 DWELLINGS= •? WATER ER D.F ! •_. OWNER= i"ir?=f?" It:::L.D, DAVID PHONE= STREET= 107.12 t:: 30TH H AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= JAMES , at : 1. ? S ' PHONE fy � , - NUMBER= 509 � : : ; 2 : 6077 BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA ' :h ;: NA t h, l *u : : .T k 9N s 1 ; jpjj „ j " ( „ j .pSEWER P :Ry . , ; *PPM } f P {Ak; A § k Pk; a 4:NHPk? lJ k i CONTRACTOR= j:.R . II CONSTRUCTIONq1.:?..?;;Nt':::: "',T.,9 .-.,;. ,. y7.. STREET= 10504 F' '' !••EI t..t- ( iH( AVE 7..: ADDRESS= SPOKANE ,•.. 99206 ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCESSING r'E(._ 'T 10.00 SEWER CONNECTION '! 40.00 0 ******************k************ eY' : NT _( m"FF. Pi?• j tP13 : k 8 C 7 P 1 PPPr A: PP rP } 1: PAYMENT DATE RECEIPT4 PAYMENT AMOUNT 12/18/91 9531 50,00 TOTAL DUE= 0,n TOTAL PAID= 50.00 i PERMIT rtiUv AMOUNT PAID AMOUNT OWI:N,". _ C': SEWER :�'?�:���: ?• 50.00 50.00 .00 0, +i % ); iii t;i 00 PROCESSED B ,•.HN ,ARSON PRINTED � r � % � ? �ti : ; ROBIN 4?-•Pi 9k:'?':+$'N:'j+:'P::3f'11.''Pi 4!i it'$t••tzi•:+i i'+i$E.... ........ ............ .. .. I;•-i .i N t< Y:i 1 E ***ini*iui :i K.hr t'r*•j+i ini*li•i++r*:`i +i**.jt:li.jC..jC.3(.:t,i.ji.:ta*1,t.jG.j(. SPECIAL CONDITION CHECKLIST Project Address: ___-_____ __-_ ______ Project# Use: Dept Date: Condition: mit Appr: | |� (in) � (out) -------- ----- -- -- ------- -- --- | ------- Deptof Bldgs. | / Spooia| |nnp. Final Report Hvurunt( ) Lvcxoo^ - --------- -- ------- --| -- ------ ---- -------- ---- | ------- ' ---- - �---------' -- -- --| -- ------- --' - --- / - ! ---- ! / | ------' ----� | --- -- | -- �------ ----| ---- -- --| -- -- - ---- -- / ---- - | ----- --------- - ------- ! --| -------� --- --'- ----� -- --- ! ------- Engineer's____-_-i -__ __! | RID/CRP Easements | ' Roadp|ans/|mp,ovomon�s i -------- -- - -- ---- | - ---- - -- Bonds | ---- ' - ---- ---- -- -| -- - - --- ---- / - - | | ! ! --------- --/ ------- 1 --/ --- ---- ---- ' - -- Planning Bonds -------- | / -- -- -- ! � - --------- --| - --| -- -- - --- - - -- - ' _ | ' | | ' ' --------/ -- -� -- -- | -- -- -- ------ -- --- -| --| ------- - --- | --- - -- - ------i - - - -- - -- i — — -- Double Plumbing | | ULID - - ! ------ --- -' --| -- ---- - - ! -- -- / -- ------- ---- ----/ -- -- ----- / - { --- -- } / -- --- --- ! ! ------� - | - --\ --! -- -- ---� ---- -Other THIS --- -- - ------ ----| -- � - -- ---- ! ---- | -- i | | ---- --- -| ---- -- | -- ' --- { - -------- - - - -- | --� -- ---- ----- - - - i -- - ------- -----| ---- ----! -- | - - ------ - - ! ------- rH|SSPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY'`'`'^^'``~^""---- '`^ Date received for C/O processing: _____-__- ______ Plans pulled for final processing:_ Temporary C/O issued: Certificate of Occupancy issued: Office file review by: ________-______ _ ______ . Dmo: Filed .nupno*euby: __ __- Date:- 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: __ __