1992, 01-14 Permit: 91006968 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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. 1 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 Many 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=r' 1 isJi:.}6':y68 ISSUED PE:.Et:!''IT DATE- c; '?4 ... PAGE= O i
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SITE STREET= 1026 E 25TH AVII'.��
PARCELO= 26544-1804
ADDRESS= 1i !::. t'4. A ,..! A L !::. WA 99206
PERMIT USE= SEWER CONNECTION — VERACREST
+ PLAT NAME= {"{a.:'...r�?I.►i:Y1••�1... t.�l
ADD
j
BLOCK= 2 LOT= 4 ZONE=
,::E -R DISTO=
AREA= 00000000 F/A= F WIDTH=
DEPTH= R/W;:r
i.� » t'S; } ': DWELLINGS- .! WATER
DIST
OWNER- N f•:. !"1 !'{`..E
PHONE=
STREET= :! 't 6 F: 25TH rhi }J
rifjDRE:.>:,,= 'ai::.Rf••?UE•?Lt::. itsA 99206
CONTACT NAME= KEVIN MARTIN
PHONE NUMBER= 509 927 3979
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CONTRACTOR= •'!':t.J :.!.E!.,•
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PHONE-
STREET= i. 329
ADDRESS= VERADALE WA 9903'?
ITEM DESCRIPTION QUANTITY
FEE AMOUNT
PROCESSING FEE Y
SEWER CONNECTION
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) PAYMENT i..? Y i"I !::. t>} { :.: =..J i"1 !"{ F� {•;
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PAYMENT DATE t":t::t.:C:..1.P I :N:
PAYMENT AMOUNT
0104/92 289
................................................
PERMIT T'Y '`.: FEE AMOUNTAMOUNT PAID
' ! OU\jT OWING
50.00 50
00
PROCESSED BY: jULIE SHATTO
i''E'°7:i''iTE::D BY: • DOMITR(:l'}i ±:!:. H : ROBIN
SEWER i. ! !.:{ AS—BUILT INFORMATION IS • F•?;if•4:j:Lf
•?BL!::. AT THE , !... !..,(,.i;.!!',Ji .Y
2,
!... i .I. !....E. , .s. t::.:.r DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD
i...!.t{...A E:. AND D !..:{..JN{...{.RM THE
!"! 1::.1+A t .1.ON rAiN1? POSITION OF :•EWE;''•'. STUB U!{
.'RIOR TO ANY OTHER
EXCAVATION
LOCATE BURIED CABLES,
FB.:\ » w : PIPING,
WFT{rLINES,
;I`` ECT. .
CALL BEFORE ::!ftAfY (456-8000)
SEWER STUBS (..? f::. TO BE CHECKED PRIOR
i l.! CONNECTION ! !_! INSURE
.':
THAT 1 t 1"�E Y ARE _..:!._E:.i•' R AND UNOBSTRUCTED
1
E O i THE SEWER !"1A.E.N
CALL FOR t -i ±.N:::r'E!.: !.!.O! . PRIOR
TO COVER '�r 'n' 'Jr ',+::++: 'r: •a: •n: 'ir 'n:
j:.:p::,.::fe; +: 'j;i f: ;!• 9: 24 4 -:' 1! t,.: NOTICE ':Ei •I.Y{.:'..,t
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