1991, 01-14 Permit: 90006651 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 9 260
(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
DATE= 01 /14/91 PAGE= 01
PROJECT NUMBER= 90006651 'ISSUED
.. ........ .. .......... .. .. .. .. ...... ....
SITE STREET= 10915 C 32ND AVE
ADDRESS- SPOKANE WA 99206
PERMIT USE= SEWER R i..:' .iNNL::". .I.i...iN .... ... ...... I..i1'1AN . .IL.... .i,i1; ..... ...,i t. i u1.,, ..
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OWNER- BURNS PHONE
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ADDRESS=: SPOKANE'';l ist`:'. 99206
CONTACT NAME= W!••t I•i R E 1`a MARTIN RIGHT-PHONF NUMBER= 509 924 1054
BUILDING SETBACKS . FRONT= NA LEFT- NA
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CONTRACTOR= WARREN MARTIN PAVING iLNDSCP PHONE= ... .. -
924 1054
STREET= 20204 E PHEASANT DR
ADDRESS,, 1. ':•+.'::.'_.::.Nj':1 L S.`.t_ WA i•; `'='i:.! i tj..
. t F` n, " , 7 ' i i7 QUANTITY .. _ N
PROCESSING FEE 10 ,00
SEWER CONNECTION 40, 00
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P i.:;Y 4";{::.N iii::. i':s::.t..:I::..#.t.:..1 AMOUNT
PAYMENT
01 /14/91 173 50 , 00
i I..! I f'ti... iii..)1::.:::: ,00 TOTAL i.:t.:! ii.t:::: 50 .00
PERMIT TYPE : ,: AMOUNT AMc:f;.!r4i FA1:T)
i I::.Ftirt.l: i 50,00 ... ..
JULIEPROCESSED BY :
SHATTO
PRINTED BY : JOHN LARSON
....................:.....................:!..+..;..v..!;..!..i!.,!..!.,!..,!..,:.j!i'!L•i!i +j i!+:"+r^. THANK you ;i•'Pi')+i i!!r +r i!t..l...j;,ai.a}.a :,{.:'.:n..�{.a :!:;¢:l;.:1!::!;. :;::,•..}(..,{.:!..:,
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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
En- gineer'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:__ ___ _ _T ___—__.Certificate of Occupancy issued:
Office file review by: _._ ___._______ —__—__ _. Date:
Filed insp finaled by:___ 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: �_ —_