1989, 08-28 Permit App: 89003022 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the Information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, I have read and understand the INSPECTION REOUIREMENTS/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 and any subseg uent
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=: L :r9003022 DE:1TE::= 08/28/89 PAGE= 01
APPLICATION
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SITE STREET= 13002 E- BLOSSEY AVE PARCEL.:== 27542-1543
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — GROi
3en3E SEE NOTE 3E**
PLATO= 001844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 6 LOT= 4 :ONE= SFR DISTv::= F
AREA= F/A= F WIDTH= 35 DEPTH= 136 R/W= 50
OF BLDGS:=: t DWELLINGS= 1
OWNER= LEWIS, E'1. ALLEN
STREET= 93002 E BLOSSEY AVE
A:t)IiI.:E::SS=.. SPOKANE WA 9920.5
PHONE:= 509 924 7817
CONTACT NAME::=: DONNA COLJRCHAINE PHONE NUMBER= 509 924 5485
I'iUILDING SETBACKS: FRONT== NA L_EFT:::: NA RIGHT= NA REAR= NA
•E3+.nE3E3E.n.3pX.niE3**-)*3Ed{h})EIEn#36n;r;n3E.n..n.n. ;;EWER IERH7:
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 1 6402 E VAL_LEYWAY
ADDRESS= VE::RADALE WA 99037
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PHONE== 509 924'5485
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
---------------------
PROCESSING FEE Y 10400
SEWER CONNECTION 1 40.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 • .00 50.00
50.00 400 50.00
PROCESSED BY JULIE SMATTO
PRINTED BY: JULIE SI-IATTO
SEWER STUB AS --BUILT INFORMATION IS AVAIL.ABL..E: 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, GnS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER flUBS ARE TO BE CHECKED PRIOR TO CONNECTION 10 INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*n3{.n..n.;{.,*:*n. CALL FOR INSPECTION PRIOR TO COVER .n.n.3<'a;-b 1'31.X3.1*.
**mon** 24 HOUR NOTICE REQUIRED 3n3en3{3{3E3Ex3{
dpi){33*n31.3..* 456-3604 • *. n.3*3**;13* n 9@911
13.3.3 .n. .n.:fi 3r..n )En 3E n fE nn 3En 313E
3{1*9E 313E THANK YOU *nom*
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