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
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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
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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
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