1991, 02-12 Permit: 91000348 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 ihJi'1 ;FR:: 910063.;
•e)i9i ee-) }i}ij:}-;':- }i:)e }f }'I Ti }f
SITE
•
PERM -If
PERMIT :i:NFORMA
I-910 EY AVE
SPOKANE t4 '99 'i b
SEWER-CONNECTION_?£_'tei1
I::. NO�l EE, }:di}4
PLATO=
AREA=
0()184.,.
(70000 i.
tiLJN R_' I"IANSCN.
{
. 9•'
STREET= ,. i �:, i
1iDRTES= SPOKANE LI
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(iii T: E: :=: 0:,:.c; i:'!i!'1 I"'(iix [:: ��- ;y'!
ISSUED F'ERRMIT.
I1_N
*X*****************
PARCEL. b= 27542-1546
H_A T ..NAME: . OF-F:-C)RT'(JTJ:I: i:.1
DWELLINGS= 1
AVE
CONTACT NAME:::-: DONNA is:OI_IRCHAINE'
PHONE.
PHONE
BUILDING. SETBACKS: FRONT= NA LEFT.: NA RIGHT= NA
..
:.*''r}i}iiHeii}i}i:H i-v-Ii.)i.)i,f* 5.'E61ER PERMIT
I::q.ICt'i- I:::
COURCHA:cNE CONSTRUCTION
16402 Ei: 's';"t E_ i..lii:Yh,JHY
'vf:_i^.R1)r"tl...l:i: H.99037
—ITEM DESCRIPTION
PROCESSING E E
SEWER CONNECTION
}e* -* Ji* ii is Sg it h..k. 9i}}i.Rr@*}i:}i. :'*.)i..p)**
PAYMENT DATE -
02/12/91 —
DATE -
0'/1n/;)1..
TOTAL.
.PERMIT TYPE EEE::
SEWER i-ERMIT
PRO:)::_
I-'ItJt- rI:..
•
JULIE
JULIE
i>''UAN-i'ITY
_ 1
}i -M: }i* PAYMENT SUMMARY }i'
AMOUNT
50.00
,):00
iRTD-
AMOUNT PAID
. 50400
50,00
'''L:I,JE:E, STUB F}..`...rii.l.LL.£
vEN-CahIF
TLtJ
UTILITIES' DEPARTMENT t456.460Qi J
CONTRACTOR OR
ELEVATION ANT>
EXCAVATION
TO LOCATE:" 1UI:
CALL BEFORE
:EWER i Tl ifi,S'¢
THAT T THEY(.,i_`F
8i}i}4 h.}@*.)i. •)) CAI..
....... n,r ..
ee or.m a..y:. .. oe er.
)i.}k *.*Xtt h
rii•:**r*j4 }i :•f :rt :}i—ii'}:ji.ji Y'.*}.—)
09
__ NA
jt. }i..j@.ji.:p: *****:;k***
A
FEE' r;a'ii).iiN T
1(),l'0
•
-
k'}l"M1'}i Ti :i. V}A.*ji., ':-),:*} .... ...
' PAYMiii; ^ T AMOUNT •
50400
AMOUNT OWING
. 00
, 00
I"iV?Ai.l_AY;ik y.t 'PT i,ir IJN'{'.T
APPLICANT IS 'rO IELD LOCATE AND CONFIRM THE
POSITION OF ;E:uiER STUB PRIOR
a
TO ANY OTHER
CABLES'. i r;s .I:ryp:CiJGr WATER LINES, ECT.
D.EG (,156-8t
1O' 'f:: Ci"I Ic. C::I+'FT1 .1."ii T. (.J I'ti TO CONNECTION'TO INSURE
I`r-n't rl)\!t , l,Jl_Jt.1Y; ; ICTED TO THE
FOR I:: .L IJ. t. I' E:, t.� i T'7.11.e TOR 10 COVER ad+,u )i }i)
SEWER MAIN. ,
HOUR NOTICE " _ Y ....
456-3604
f
•
j:-i'a.);#;:}e THANK i'i iJ {e-etk}':}')9iji)Er:i'i ti.y.... .y...$irjFr 4Y }i*
D'\
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON. DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: February 4, 1991
TO: Courchaine Construction
East 16402 Valleyway Avenue
Veradale, Washington _ 99037
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application #91-348
DATE
02/04/91
PROPERTY ADDRESS FEE
East 12910 Blossey Avenue $ 50.00
Amount due and payable $ 50.00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to February 14, 1991. Failure to
remit this amount on or before this date will result in a double fee
being assessed.
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509) 456-3675
FAX (509) 456-4703