1991, 12-04 Permit: 91005688 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
4 W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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 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/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= 95005688- -_ ISSUED PERMIT
DATE= 12/04/91' --PAGE= Of
tete**tete****tete**tete*tete*tete****** tete** *tete******************tete
SITE .STREET= 1113 S BLAKE RD PARCEL.*=.` 22544-2806
' ADDRESS= SPOKANE WA, 99216 •
PERMLT:USE= SEWER CONNECTION - WOLFCRE:S7''..,
*tett SEE NOTE. *** • - -
PLATO= 002945 PLAT NAME= WOLFCREST ADD - -
'BLOCK= 1000 LOT= 6000 ZONE= SFR DIST=. F
AREA= 00000000 - F/A= F WIDTH= DEPTH= • R/W= 50
*, 0E- BLDGS= f 4 DWELLINGS= 1 WATER DIST = -
OWNER= BLAKESLEY. PHONE=
STREET= 1113 S BLAKE RD
ADDRESS= SPOKANE WA 99216 '
CONTACT NAME= DONNA COURCHAINE •- - -- PHONE NUMBER='509'924 5485
BUILDING SETBACKS: FRONT=_NA LEFT= NA - RIGHT= NA REAR= NA -•
*****************************.SEWER PERMIT ***********#*****************
PERMIT INFORMATION
CONTRACTOR= COURCHAINE CONSTRUCTION - PHONE= 509-924 5485 -
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE,WA 99037 - .
- ITEM DESCRIPTION --QUANTITY !FEE AMOUNT
PROCESSING FEE• • _. ----- Y" 50.00
-SEWER CONNECTION ._ 1 . 40.00
***************%%************** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
' 12/04/91 _ - 9181 - 50.00
- -. • TOTAL -DUE= - .00 TOTAL PAID= ' 50.00
PE::RMIT1 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: DOMITROVICH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT .I.S .TO FIELD LOCATE AND' CONFIRM THE .
EL.EV'AT-ION AND POSITION OF SEWER STUB'PRIOW TO ANY OTHER
EXCAVATION .
-TO LOCATE BURIEI) 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 -
*******tete CALL. FOR INSPECTION PRIOR TO COVER *********
********* - 24 HOUR NOTICE•REQUIRED **********
********* 456--3604 **********
******************************** THANK YOU *********************************
•
, " SPECIAL CONDITION CHECKLIST
Project
Address- Project # Use'
•
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Plans returned: - Received by'
No response from owner/contractor - plans destroyed'
Dept. of Bldgs.
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P 9; i.,.]t l�� 1.._I.rib: . r ... ri-_ �_�.... '1...3'It'if�., •.. 1._
Temporary C/O issued'oetitiiicafetti.tJccubei;yiisueed' :3''3'}1=3}ii -1-1A3
Officefile revI! bntiT CT Yt_7.:T;1: t:;:O'" J," '%;:'i tea "`(::3:1;:0 _1:: OT 21f1- rAuTZ i1JW3 -
Filedinspfinaledby: VIAH 99i,-17, ;INT OT i111Y516ie?R[RiL1 ilyin AA::i_13 39A `iRHT TAHT
iti*ifit:kifif*itr h.-1'v0a Or >1t.1Tii'•i 1.10(.1U:19.1,0L :'11.11 .1..10:l ***4*+* *
:(:: t;::: 44:!:4'f (i J;9Tl'C - rl T,OT r:`Itt ^'!flw tr.: a fi4*y4:Ki4.ii.r.:,4
Ninety days after C/O°is`stikee`.aa'a'a F'-oirc;--ii i. c. *'itif.*.ii..if:,!i1.i*
i(,fav:,(iWfier/,6QiTtractoEtaalled1regardiagfttfeiteturnofipla#sd'4. 11:'+v MA:..t1" 44444,4a a4:E:4*y fe!(i1:431:4314* rz3d.3 it:,5 +,4.ir
Plans returned: - Received by'
No response from owner/contractor - plans destroyed'