1990, 05-15 Permit: 90001829 Sewer I
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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 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
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SITE STREET= .12807 ,.:•?:.M;(o 1:;.! '.i..;l 't:.... -
T. NAME-
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07 E SEMRO RD
ADDRESS=`= :_ . :'JF: t.JA ic;:•z i •..
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BUILDING SETBACKS : FRONT=t :: NALl•I'T::.. .INA RIGHT= NAR REAR= NA
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ADDRESS= VERADALE WA 9903
ITEM
:,rat'\..,.DESCRIPTION ; :;t^ I..i.'r
t::',::'E AMOUNT
PROCESSING FEE 10.00
SEWER CONNECTION 1 40 , 00
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PAYMENT DATE RECEIPT4
E:'
/15/90 2434 50, 00
TOTAL D UE:::: .00 .r D::: 50,00
PERMIT i7C : FEEIAMOUNT AMOUNT "ttT
OWING
SE W F.:R PERMIT 50.00 50 .00 .00
50, 00 50, 00 ,00
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PRINTED BY : jULIF SHATT0
SEWER :: IUB AS—BUILT INFORMATION .}.,'- AVAILABLE AT .'.H `O COUNTY
UTILITIES A.1E f7R f 1 Ei�! i 44.16" :ti60•v ! t t
i.:(. N t !;.AC.: i(_1R OR APPLICANT I; TO FIELD LOCATEAND CONFIRM
ELEVATION A N i,1 POSITION OF SEWER :t-i.-i T # t{'i is iY' TO' r_NY OTHER
t
EXCAVATION
GAS PIPING , WATER .T
I::.:'.4(I::.it :. i. I:'• ::iRf.. TO BE OHECvED
PRIOR t ( ? 4N
Ii ; y 4 , INSURE
- # rt ; t - i % TO Y
EEWER MAIN
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