1991, 07-08 Permit: 91001651 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= 91001-651 ISSUED PERMIT
DATE= 07/08/91 PAGE= 04
**************************** PERMIT INFORMATION ****************************
PARCEL4= 27542-1547
SITE STREET= 12904 E BLOSSEY AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATt= 001844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 6 - LOT= 8 -ZONE= AGSUB' DISH= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
.0 OF BLDGS=- 1 t DWELLINGS= i WATER .DIST =, -
' OWNER= WARE- •
STREET= 12904 E. BLOSSEY AVE.
ADDRESS= -SPOKANE WA 99216
CONTACT NAME= DONNA.COURCHAINE"
BUILDING SETBACKS: FRONT= NA LEFT= NA
PHONE= .
PHONE. NUMBER.; 509 924 5485
RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************.
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509.924 5485',
STREET= 16402 E VALLEYWAY
-ADDRESS= VERADALE WA 99037
-- ITEM DESCRIPTION QUANTITY FEE -AMOUNT
.PROCESSING. FEE Y .10.00 ,
SEWER CONNECTION i 40.00
********************•x•********** PAYMENT- SUMMARY ******************.*********
PAYMENT. DATE RECEIPT•,`. PAYMENT AMOUNT
07/06/91 -- 4475 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 50.00 .00
PROCESSED BY: JULIE SHATTO .
PRINTED BY: JULIE SHATTO
SEWER STUB AS --BUILT 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 PRTOR TO ANY OTHER
EXCAVATION
TO :LOCATE BURIED CABLES, GAS PIPING, WATER,.L..INE:S, ,,F.'CT.+-
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS..ARE TO BE CHECKED PRIOR TO CONNEECTI.ON..TO INSURE,
THAT THEY ARE CLEAR AND UNOBSTRUCTED -TO THE SEWER MAIN
*********.CALL- FOR I:NSPE:C:TION PRIOR TO COVER **********
********* 24 HOUR NOTICE_ REQUIRED ********** .
********* 456-3604 **********
******************************** THANK YOU *********************************