1991, 05-08 Permit: 91002432 Sewer SPOKANE COUNTY DEPARl'IV ENT 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 proions of any state or local law reg ating construction,or as a warranty of conformance with the provisionsof any state or local
laws regulating construction.
SIGNATURE OF APPLICATION -578 /
OWNER OR AGENT DATE
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. ADDRESS= SPOKANE WA .
PERMIT USE= SEWER CONNECTION — DRY LTNE ONLY
. PLAT4= 00412A PLAT NAME= PONDERCSA ATH AT)D
OWNER= DREAM HOMES — FHONE= 509 32S 4-772
17,22 MCWRflF VT
,.. .. .1',..}v,.. SETBACKS : FRONT= N LEFT=- - _ .... .... ! ... NA REAR= JA
a} .}y .:;;.*xi.::j.`j. st: ti•iL,*3`:• pERMIT14..11:iti •'!j:.li a -i'i iti- .. .. 3.., ....
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mEAM 'HUMES INC PHONE= 509 32S 4352
ITE - - . QUANTITY
TION
PROCESSING FEE - 10,00
: :.:, 40 , 00
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RECEIP7
PAYMENT AMOUNT
05/00/9 i 2702 50,00
- AMOUNT PAID AMOUNT OWING -
50 ,00 50,00
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D RY : JULIE SHAFT°
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bidgs.
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: