1991, 10-04 Permit: 91006678 SewerSPOKANE 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= 91006678 '
r
.ISSUED, PERMIT"j4 ,DATE= 12/04/94 PAGE= 61
************#*************** PERMIT INFORMATION ****************************
SITE STREET= 12919 E BLOSSEY-AVE_ PARCELO= 27542-1414
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801 -
*** SEE NOTE ***
PLATO= 001844 - PLAT NAME= OPPORTUNITY -TERRACE 3RD ADD
BLOCK= 3000- LOT= 14 ZONE= TFR DISTO=
AREA= 00000000... F/A=.F . WIDTH= . DEPTH= R/W=
OF B.LDGS= - 1 .O. )WELLINGS= i ..- WATER DIST = - .
OWNER= MATTESON -
STREET= 12919-E BLOSSEY AVE
ADDRESS= SPOKANE WA 99216 -
CONTACT NAME=-DONNACCOURCHAINE
BUILDING SETBACKS: FRONT= NA' LEFT= -NA'
PHONE=
• PHONE NUMBER= 509 924'5485
RIGHT= NA.. REAR= NA
***************************** SEWER PERMIT' - ******************************
CONTRACTOR=-COURCHAINE CONSTRUCTION
- STREET= 16402 E VALLEYWAY
-ADDRESS=-VERADALE WA 99037.
ITEM DESCRIPTION _ - QUANTITY. FEE AMOUNT
PHONE= 509 924.5485'
. PROCESSING FEE Y 10:00
SEWER CONNECTION- - --` "' 1 - 40.00
*******************************,.PAYMENT_ SUMMARY- ****************************
`PAYMENT"DATE - RECEIPTO PAYMENT AMOUNT
' -12/04/91 .- 9181 - 50.00 '
TOTAL DUE= .00 TOTAL PAID:: - 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER -PERMIT • - 50.00 - 50:00 .00
50.00
PROCESSED BY: JLJL_IE SHATTO
PRINTED BY: DOMITROVICH, ROBIN
r .•
SEWER STUB AS= -BUILT INFORMATION IS AVAILABLE AT THE COUNTY.
UTILITIES DEPARTMENT (-456-3604) -
50.00 .00
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION •
TO LOCATE' BURIED CABLES, -GAS PIPING'; WATER CINES, ECT.
CALL BEFORE YOU DIG (456-8000) -
SEWER STUBS ARE -TO BE CHECKED PRIOR •TO"CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO -COVER **********
********* 24 HOUR NOTICE REQUIRED • **********
********* 456-3604 **********
******************************** THANK YOU *********************************