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1991, 09-24 Permit App: 91006164 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 F:`pOjE::C T NUMBER= 91006164 APPLICATION DATE: 09/24/91 PAGE= 01 3i•3t•3i•3i•3e3i• THIS IS NOT A PERMIT 3i•*•3i•*** PENALTIES WILT». BE ASSESSED FOR COMMENCING WORK. WITHOUT A PERMIT SITES STREET= 1 :3623 F: i 2TH AVE PARCEL..::== 22544-1605 ADDRESS= SPOKANE WA 992.16 PERMIT USE= SEWER CONNECTION .... WOL.FCREST *** SEE NOTE *** PLAT = ?iia_'r`3 I::`I.»AI NAME= VERA TIO( ( : 156 _CT- ZONE= ^ ,RfDISTN= F: AREA= 00000000 F/t-- F WIDTH= DEPTH= I:,.'U= .4'_; OF0 BLDG,S::: i :N: DWELLINGS= I WATER DIST ::: OWNER= F'ATTERSON, DENNIS PHONE= STREET= 13623 E" 12TH AVE ADDRESS::: SPOKANE SIA 99216 CONTACT NAME= STAN ANDE::RTON PHONE NUMBER=: 509 922 4594 BUILDING SETBACKS : FRONT= NA LEFT::: NA RIGHT= NA REAR= NA **3i a 3i a•ic 3i•u i{***x}{3i•3i•3i.31:3i•*3i•3i. *•.k•}i•3i SEWER ' . 1 x a N3t**x* 1 t k c n xx nx n e*x {*xpr nn3 CONTRACTOR= A PLUS' CONSTRUCTION PHONE= 509 4594 STREET= PO BOX 141557 ADDRESS:::: SPOK ANE WA 9921 4 ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCESSING FEE r' 10.00 SEWER CONNECTION i 40:.00 PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50. 00 :.00 50:.00 50.00 ,00 50.00 PROCESSED BY : JULIE SHATTO PRINTED BY : ...IUL..IE SHATTO SEWER STUB AS'—BUILT INFORMATION IS AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT (456-3604) CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER Tt.ITi PRIOR TO ANY OTHER EXCAVATION TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT . rALL BEFORE YOU DIG (45b-8000) SEWER STUBS Ar E:: TO BE:: CHECKED i D PRION: "11, CONNECTION TO I r'#EI..IRE THAT THEY r"tI:E CLEAR AND UNOBSTRUCTED TO Till SEWER MAIN •ik 3t••h:m:••�:3{•r.3t•* CALL F'O F�` INSPECTION! PRIOR T O COVER .K..ri 3k 3i••ri•3i 31'ii'd'p: ***3i-3i-.ii.is** 24 HOUR NOTICE t�1E:.QU:I:RED 3r3ii4.3i3A343`iG3ii•; H) l k 3 39 (A 456-3604 'b:•A'3l*3l•'P••11 Ji•3t•3i• • ••• t Y t U 3r 3i 3i•3i•ii 3s• 3t 3i•*3i•3i•**•x*3i••ii•*•,i:, 3i 3i»ri ri•,i:n•��:•ri* n, 3i•3i•3i•3>,•3i-a 3e•ii 9i•3i•3i 3i•3i•3i•3i•t'••,r 9F>~9k 9k k•3i�3!•3E H:3i 3{3e 3E 3E THANK r• Y ......