1991, 10-09 Permit App: 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= 91 006678 APPLICATION DATE= 10/09/91
****• THIS IS NOT A PERMIT ' •x'* '#
PENALTIES tJ]:i...L BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= 01
SITE STREET= 12919 E BL..C)SSEY AVE PARCEL4= 27542-"1414
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -" 8801
' ' .;EE NOTE * '
PLAT4= 001 844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 3000 LOT= 14 ZONE= TER DIST#--
AREA= 00000000 F !A= r WIDTH= DEPTH=
4 OF i i...DGS-: •i 4 DWELLINGS= •i WATER DIST
OWNER= MATTESON PHONE=
STREET- 12919 E Eti._QSSEY AVE
ADDRESS= SPOKANE WA 99216
1:-
R/W=
CONTACT NAME= DONNA COIJRCHAINE: PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT:::: NA LEFT- NA RIGHT= NA REAR= NA
.j(.:,(..j(.:p. 'R' :k 'A: 'P: 'N: '14' 'N: 'p: 'P: 'f4-* :C ';t # ji- k..k..h../1' * 'P: ';l' '){ ';C 'P: E L:. .:. '',pERmIT *********:k*****************:***
CONTRACTOR= COIJRCHA:INE CONSTRUCTION
STREET= 1 6402 E VALLEYWAY
ADDRESS= '. L RADALE WA 99037
ITEM DESCRIPTION QUANTITY
PROCESSING FEE Y
PHONE:::: 509 924 5485
FEE AMOUNT
10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PA]:D AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
-------------
50.00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS.-I:tU:I:I...T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
)
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 LINES, 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
3t1h•Yt'7l'Il•*•R;{* CAL..L FOR INSPECTION PRIOR TO COVER *** ' ' ' - ' 'R'
* ** J.,..***** * 24 HOUR NOTICE
OTICE REQUIRED **********
)C1.pphA456-3604
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*****x.*******:****)(*********** THANK T o u M: )t * ll' 1l' K fi: )t"P: ';t ik'/?"1!"k"1l"P.' 9t ';t' it !i- R' )l' jt' R'Jt *R' 9i"7i: '. k h.' 7t *