1991, 06-11 Permit: 91002159 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 REOWREMENTS/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 orcancel the provisionsof any state or local law regulating construction, or as a warranty of conformancewith the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROjECT NUMBER" 000059 TRAUPD
PFRMIT PAM=
W&i/% PAW= Wi
PERMIT
1=RMATTON
SITE ATREET= 11209 E 32ND A01*:'
PAPCTL*=
PERMIT USE=
:;:..,. ;;::F NOTE
BLOCK= ,y"< LOT=
20 ZONE= 009"T
:•.:..
u OF BL .r
DWELLINGS-
I WATER DIET
OWNER= KOWFL!
;IREET- i y
CONTACT NAME- LEONATn
NUMBPP= 509 92A S9N',
.r_ r� r
BUILDINGSETBACKS:LEFT-
..
REAR= NA
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CONT CONSTRUCTION
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ADDRESS= SPOKANE WA 11206
ITEM DESCRIPTION
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QUANTTTY
.........................._ ....
FEE AMOUNT*
............ ....._. _.- ................
J.
SEWER CCNNECT!0---`
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y� .•,, ,� .i }. iE : .}r ::. � r, .! :-. :-. ?'. ?i. N, Y, if, N, !i, il, ,,. : �. .. .. ?-. :i. .. 1}: 'it... PAYMENT
SUMMARYDAT
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--------------
'.. PE ,.. AMOUYT
AMMUMT
SEWER PERM 1 50.
50 0`1
PROCESSED 7 JULAE S_
•.r•.I•.:t•Ev. :• . Sc— :
PRINTED
AND CONFIRM TH17
CONTRACTOR OR APPLICANT
TO F77LD LOCATE
AND •t. {�rJ
OFvSEWER
TO ANY OTHER
r.J 1 {..{:.i .r.
ELEVATION
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.
EXCAVATION
Y,fitI S
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CAf}..'
HAT THEN ARr
7n THP
C""
CALL
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THANK
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YOU i„i t:}p :,c :}:. ,t 1.:”?
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-
Engineer's
Planning---
Utilities---
Other-----
Date:
lanning__UtilitiesOther
Date:
Special Insp. Final
Hydrant( }
Lock Box `
RID/CRP
Easements _
Road Plans/Improvements
Bonds _
Bonds
Double Plumbing
OLID
Init:
(in)
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:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned: _
No response from owner/contractor - plans destroyed:
—�_—. Date:
Received by: