1991, 09-18 Permit App: 91005769 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 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
PROJECT NUMBER= 91005769 APPLICATION DATE:.: 09/18/91 PAI;F:= Oi
PENALTIES h , . I ! ASSESSED r' c COMMENCING w 'V WITHOUT " PERMIT
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PERMIT} tlSi::.:-: ,k?::.t+l!::.i•4 CONNECTION .... ,,aO?...?•• .:I•t:r.:.;:: ?
i t t SEE NOTE ii•ii:)t•
PLATO= :c2753 :. T NAME= VERA
BLOCK=-:= L1. I ... ZONE= AtxP';.!. DIST4=
AREA= 00000000 F/A— F it;
OWNER= ...,.. Y.,.... Mr.,i PHONE=
STREET= 13310 E 10TH AVE
ADDRESS= SPOKANE AiVE lir=: 99216
ctN (-t1 NAME= STAN r NiEr i„ , PHONE
RIGHT=* ONNUMBER=
- " B .
50 . _ 4594
BUILDING SETBACKS : FRONT= , - LEFT= t • ' A REAR= NA
k k h PnV k Ar k Nk PAtiNNA { k k AAk { lP7hSEWER ! � " a •n•: Ca k i :ti ... } lti •ii•PN : urG P ( :j4 :a;•ui: i
CONTRACTOR= A PLUS CONSTRUCTION PHONE=.
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STREET= PO BOX 141557
ADDRESS= J°POK ANE WA ''1 4'.
ITEM DESCRIPTION r:'`i i i•''•iii T ..-.- 1..'i::.I::. AMOUNT
PROCESSING FEE 't 10.00
SEWER CONNECTION 1 40 , 00
PERMIT TYPE ?..i::.L_ AMOUNT AMOUNT PAID AMOUNT 1 iInd.i.Nl:+
-------------
SEWER PERMIT
_ 50 . 00
} i . 0; .0( 50 .00
PROCESSED I:; JULIE l i 11::. S;..i f.;i 1'-r O
PRINTED BY : JULIE ,S i••i •i"( T O
SEWER ttv AS—BUILT
S. t . . . )" _ iM( 1I !N IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT 1, 4'Y :;+_— ,,,!•,1!'f4} J
_- ,.T: . - • O R OR
APPLICANT rFIELD
LOCATE f N CONFIRM T; :
ELEVATION AND POSITION OF SEWER STUB
PRIOR •}•:.. ANY OTHER
EXCAVATION
TO LOCATE Bt ] :• CABLES , Y ?rPIPING , WATER . . i \, ECT ,
CALL BEFORE YOU DIG (456-8000)
SEWER
( tER STB: ARE T 1BE CHECKED
PRIOR f ' ,_.. Jv:.:.i.:""i
i^i
}. `i,:'•>,m�.;r-•..:.
THAT THEY ARE CLEAR AND )N !t _ ? tSEWER 1 � �1 - ? � •
*)* i***R* CALL ti INSPECTION PRIOR T_
COVER A b:RA:R•:!•Rn-R-:A
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