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1991, 09-09 Permit App: 91005583 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 {"`!°-.±.a:.i!..E.: ! !*!11!'11;5±':.±•,.:::: 91005583 00558;ti APP ± A tION DATE= 09/09/91 Pi!.':{:: . PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 13418 E 14TH AVE PARCEL4= *.r2544- 454 ADDRESS= SPOKANE WA 992.16 PLAT4= 002753 PLAT NAME= VERA BLOCK= 24 LOT= 54 ZONE= SFR OWNER:::. B!...!'.!'•.I M±::.t"`, B Y!'.!... +'+ :SANDRA PHONE= 509 922 6685 STREET= 134-18 E 14TH AVE ADDRESS= SPOKANE WA 99216 CONTACT j:j••A I i• '`'-1 i'` .:"7' .{j SANITATION {••.j';T A.. ;_.} .fOC:E NUMBER= 509 926 4721 PIM niNC: :ti, TBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA '.:,:::::: ii.n::,'.:'.i'.:,i.:'.:,'.:,'.::::i.:::::'.:::i.:'.:'.' :,i::i.::.:j.:,(.:'.:!,::!j..i�.:,'.:a::::lj.:,'.:,j.:,y.:,j.:,j.:,l:*:!,::,j.:,::!f.:,::�j.:!!::,i.:!i.�,. • :.:,..,.�:•. .. 1•.1.1.:.A... .. :..1..}4.. a... .. .... ...... .. 1...1., 1.2�.}!.!`. .�.:!. .i. P.:i. :•. 34 :!. ,!. :!.!..P.P.Il!!.!•.P.1!.'1;..1l..?,..1,.�,,.},. "•±::.{:�)±: '� ....-. ... CONTRACTOR= :.;.I.±'±±":`:•l.:±'': SANITATION t PHONE= .. .. ....... 4781 IN AVE ADDRESS= :::!""O K 1-!±"d±::. WA 99212 ITEM DESCRIPTION QUANTITY AMOUNT --------------- 10 , 00 SEWER CONNECTION 40 ,00 PERMIT! ! ! � ' • AMOUNT PAID AMOUNT OWING PROCESSED50,00 ,00 50 , 00 ;.:i•<: ! W! is .. ... .',.{.i. ..i_i CONTRACTORSEWER STUB AS—BUILT INFORMATION Ig AVAILABLE AT THE COUNTY UTILITIES DEPARTMENT ( 456-3604 ) OR APPLICANT EXCAVATIONELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER TO LOCATE BURTED CABIFS , GAS PIPING, WATER LINES, ECT , CALL BEFORE YOU DIG SEWER STUBS _ TO CONNECTION THAT THEY ARE CLEAR AND UNOBSTRUCTED 24 HOUR NOTICE REQUIRED ..::'Rr') ::C1!r i'!i iiii i. 456-3604 :!:•:i!}.. ..i'!r i!t•i4:I. ;!r•1!i