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1991, 05-09 Permit: 91002264 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 he 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 C� OWNER OR AGENT . r.4. i . , _ _.�. SATE 5/l / • f }.^ NUMBER= } .. - ::. •- ._"'•-. _ ,_F....,i_t .( DA- - D5/09/91 /; pERmiT TNFoRmATioN .. .. •#.'lir�, .•} 7 PARCEL4= T3542 ADDREEE= EPOKANE WA 99206 PERMIT „t'1.- ,,....:�.i::,tl,I.-.. CONNECTION ' ] ; AREA=! t 1 }„ ,jet 1 i J f, ._.. ••ii i.;i. _..•i L.: -.: _. -y 1 ixi -..-_.t]i ... .' ..}. .TE:R. ._ T :'i.-DIE.... .. .. .S. : NLN ! WA t }.!} °t_. }... }. t .. „- }'i4. T.- "An.) ,... rl.,i_}:i:' .. I li .1 t. .•,t t. 1 St•�: ?`'.!" ^}!i BUILDING EETBACKE ,. FRONT-5 NA- - LEFT=- . -NA r•; R-}:} i_ NA REAR= NA ' 3 '.A•I•J3.A P.,i:"A K ai•3ir t•P.:. .1.,k'P,'Jk tk•Jt:A:i ' ltir•g..P f { •i.'1 f :Jj, 41:.•} 'A JS)'J.)'' JS J, -:•P:,{:'J:l•li:,jj,:J1..J:.I ,1.'it:,}(.. .i:,':ti. FEE AMOUNT • -------,-- 40.00 REU., PAYMENT EF.WES' iNFO.R.i.jATIC;N _ TE AVAILABLE AT THE COUNTY UTILITIEE DEPARTMENT (456-3604) . CONTRACTOR OR APPLICANT IE TO 1 I" Ii 3 AND CONFIRM t't}:'- ELEVATION AND t O:.. .I. - ......N OF .....a}.:.. STUB PRIOR ... .. ...... EXCAVATION TO LOCATE BURIED } A i, -'c , ,r r t t' 3 ? I u v: { r ,,4•rji0S. ` ...T}...2.:. ,�K�;_I��?.'• :.'._ %:].��, ., v Off} � r • t;�;st:')k i-.J•. .: ,-..JE..,.. _. - sY_:i::....»''-,6 Si=t. . .. .... .. 0 I..; r . . , r. .... .. SPECIAL CONDITION CHECKLIST Project Address: - _ _Project#— _ Use: Dept: Date: Condition: Init: 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: 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:_