1992, 01-14 Permit: 91006957 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- 91006957 ISEUED PERMIT DATE= 01 /14/92 PAGF- 01
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SITE STREET= 15211 E 25TH AVE PARCEL4- 26544-170?
ADDRESS- VERADALE WA 99037
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PLATO= 001593 PLAT NAME= MCLAUGHLIN ADD
,uwNER,, BRANDT, RALPH PHONE-
STREET- 15211 E 25TH AVE
ADDREEE= VERADALE WA 99037
kFVTN MARTTN PHONE NUMBER= 50? ?27 3?7?
BUILDING SETBACKS : FRONT- NA LEFT,-, NA RIGHT- NA REAR- NA
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CONTRACTOR
ETREET= PO BOX 329
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY
PROCEEEING FEE
SEWER CONNECTION !:7)
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01 /14/92 22? 50 , 00
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iuiAL DUE- :. 00 TOTAL PAID- 50 :. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50, 00 50,00 „ 00
PROCESSED BY . jULIE SHATTO
PRINTED BY . DOMITROVICH , ROBIN
UTILITIES DEPARTMENT f'.. 456-3604 )
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ELEVATION , POSITION OF SEWER STUB PRIOR TO ANY °THEP
EXCAVATION
TO LOCATE BURIED CABLES, GAE 1;j ! EK
OALL BEFORE YOU DIG ( 456-2000)
SEWER ETUBE APE TO BE CHECKED PRTUR 'CO LuNNEi...j..TON
THAT THEY ARE CLEAR AND UNOBETRUCTED TO THE SEwER MAIN
CALL FOR INSPECTION PRIOR TO COVER :2i: iFk§:k4,-:*K:k
24 HOUR NOTICE REQUIRED
456-3604
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