1991, 01-24 Permit App: 91000254 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this perm it/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== 91000254 '1 — 4 / / 91 PAGE= 01
**********iih•*3t•******}r, .*.}f.*h'r**•y;.*# APPLICATION *****•;i3raE;k*h•:••r:ai•*r•*r:•7f•n••ic••}i•.)i•ai•it •ii••r,: •.h. •a>:•ai•
SITE STREET= 13326 E BLOSSEY AVE PARCFI_.v= 27541-2644
ADDRESS= SPOKANE WA 99216
PERMIT USES. SEWER CONNECTION — 8801
3r* SEE NOTE ***
PLATt- 001844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 8 LOT= i ZONE= r-1GSUB DISTO= 1=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDGS== i n DWELLINGS= 1
OWNER=S OTT PERCY PHONE==
STREET= 13326 6 F: BLOSSEY AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME== DONNA COLJRCHAINE PHONE NUMBER= 509 924 5485
IttJ:FI...DING SETBACKS: FRONT- NA LEFT= NA RIGHT= NA REAR= NA
i{•A:••R*•b.-.*jt*•k**!1-'R'****jl*:4'**')t•34•h:•'b.•*'b' SEWER PERMIT )i''ll***#jt*tit•*.k********i{**k'R•Il*P:•P•'Y:'P:
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 1 6402 E 'ALLEYWAY
ADDRESS= VERADAt. E.. WA 99037
ITEM DESCR]:F'T:I:ON
PROCESSING FEE
SEWER CONNECTION
F'ERM T T TYPE
SEWER PERMIT
PHONE= 509 924 5425
QUANTITY FEE AMOUNT
1
40,00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
_ -- 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER .-TUB AS --BUILT INFORATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-360A)
CONTRACTOR OR APPLICANT IS T' FIELD L..00ATEr.;; `, 4 THE1= ` i"l.' T [ 1Jti AND F'f;" T'T' iF SEWER STUB U F'RI OR TO ANY OTr-il= 1:.
EXCAVATION
TO LOCATE:: BURIED CABLES, GAS PIPING, WATER LINE: 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
•*•;~••x •+►** CALL FOR. INSPECTION PRIOR. TO COVE ****•x*ai***
•ai•******* 24 HOUR NOTICE REQUIRED **********
** •p:•n•** 456-3604 **K***A**•x-
*hit• * * 'Yk ' )i 9i * * * * * it- * * * P: * ?t• )t •fit• 9l §E * ii * * * is THANK YOU * * 3l• * •iE )i.• Vit' 9t * 'n• fit• * 3{• 3l• Jf• 3t• •)t' 'll' yF {' iS' yF ')t' 'yk )! 7! 'J4- * )F 7E ,t 4 •