1991, 02-22 Permit: 91000593 Sewer mum, ~
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
w. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99280
(509)456-3675
I certify thaI have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application/ true
and correctand authorize Sx County
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 issua e of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th isio of any state:r 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
PROJECT NUMBER`'
**************************** PERMIT INFORMATION *******!****$:****************
_ .
%ITE 12202 E37T� PA9CF !�-
C~=, 17 (7, N
ADDRE%%= %POKANE WA
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' PLAT4= 004369 PLAT NAME= MIDILOME
BLGCK= 2 LOT= i5 Z�NE= F -'
AREA, 0000000
OF BLD�%= i 4!: DTA
H TNC P�ONF= i:::1;9 Y24 9406-
12212 E %IU
8X CTP
%POKA�E WA 99206 - - -
OONTACT NAME FRAKGCOBBN� � PHONE �U���R= 50� 924
BU % 94�a
-- - �~ ^ . ^'. '"K" � FRONT,. LEFT::, NA RI�HT= NA REAR= NA
*****
pERmIT ******** ********************
CONT^ ' ' -''� ' '`'^ ` '
. _ • PNF=
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ITEM DE%CRIPT[ON QUANTITY AMHqNT
� ------------------------- ---�---- --�-------
PROCE%%I�� FFE ; ' .7 7;
Ti:) -LOCATE BORIED CAB[f���
CAA. BEFORE-YOU Vic.; <45.6'
SEWER STUBS ARE TO BE Ct1E.:::KED �;`lGK r{/ CONNECTION
THAT THEY AREC AR. %T CTED TG THE SEWER- --:
********* CALL FOR INSRECTTON PRIOR TO COVER ********
^
********* 24 HOUR NOTTfiE REQUIRED ******** ^
********* u56 36O4
********** ' '^
******
`
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
1 Special Insp.Final Report
1 — 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: