1991, 10-18 Permit App: 91006973 Sewer 4111.11.11111mmil
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
i 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,oras 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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:t , # tNUMBER= i1 lt : : � " APPLICATION ;: ^ S : 10/18/91 PAGE= :
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PENALTIES WILL ''#::. ASSESSED FOR#'t. ...Ir!#•'##•'#I::.N 1,.,. i,f•t#,v PERMIT WORK WITHOUT A. PERMIT
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, p,;L _.. ! .,; ! ;: #::. '1 .,4 }^i, {:;it?:. :''f.:±I't.::!::....... 2:3544-1405
PERMIT USE= SEWER CONNECTION .... VERACREET
*:!t . SEE NOTE :J+i 7h:!{.
PLATO= 002751 PLAT NAME= VERA
BLOC
RE " 00000000 C:':'�"t:::: F ,WIDTH= DEPTH= :.t2::::
0 t.!#" BL!-Jia:::"' '!;' %`i%:##.#...L.TNI-,..:.y:::: } .%s{-: 5::,#'t !.J.#.,:, 3 ....
OWNER= KEITH PHONE=
. STREET= 14710 E 14TH AVE
ADDRESS= `+i ERADAL.E WA 99037
. CONTACT NAME= RON ` Icy PHONE 3',II tP'}1;,7;• ':::09
BUILDING SETBACKS : FRONT= NA #...#::.#' ! .... jvA }'t, i G T... NA j•;.J«.{::i l•:,.:::: NA
********)*** ****************K : # ;t 4 PERMIT )i-:* jst:.* i! x F FtF : . Ajd5+:.: *AHig :sa*
CONTRACTOR= Ai A.YS ACTIVE PHONE= 922 8500
I STREET= PO BOX -141562
ADDRESS= SPOKANE !.j f::, 99214
ITEM c. DESCRIPTION QUANTITY FEE AMOUNT
SEWER PROCESSING CONNECTION E E }40. 00
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PERMIT TYPE FEE 'i MOUNT AMOUNT !^t•: AMO.,!}-:!'i• OWING
SEWER.......... SI_{. OU i 00
0..00 ..±':i{:f 50,00
PROCESSED
PRINTED !:j'f : ...Lit.,I?::. 'i"#h # # i_1
SEWER STB AS—BUILT INFORMATION IS AVAILABLE
AT
THE COUNTY
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CONTRACTOR OR APPLICANTi, '• i 1 FIELD LOCATE f"t i`••7 i,JCONFIRM THE
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ELEVATION f•'1#'%!_J POSITION E.!*' . EWER; :::,-TUB PRIOR TO f•'i ;+Y OTHER
EXCAVATION
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' iii L..iii-F•e ` !;<,i:�. 1• %i i,',{:a.'r..� ?•' tx(�i:� ���` .e� .#.^i..a ia;r•i i•f::.�,•`. i....�.�•l E::...: !:::01.
'•t'1,!S::.P', ETUBE ARE TO .`i�E CHECKED PRIOR F O CONNECTION TO INEURE
THAT THEY Y ,iR.. CLEAR "•;+1' UNOBSTRUCTED TO THE SEWER MAIN
******:k**.;,.:1,; { , ,..i t`•c INEPECTION PRIOR Ti! COVER ;:•a ::;*;+;**.}E*
*****K*** Z. y.#1 i t.t 1 '••F t f t #.- ' #'S#::.1..t:.#.#"t.....!_? *K********
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" : ? » 9 *3 *a : *yt:k*15 : * P1h: 3rt t PtHANK YOU :i :: L: c a.:.. i: : i {:±i.a : : {: t ty: : : i.i..: yj5 ::.... F
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