1991, 09-17 Permit App: 91005688 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= 91 005688
APPLICATION DATE= 09/17/91 PAGE= 01
)k )G )t• )k )L• )C THIS a N Oi iAi PERMIT i'-' 34• )t' •!': •}t
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT Is PERMIT
MIT
SITE STREET= i 1 i 3 S BLAKE RD
ADDRESS= SPOKANE i4!°l 99216
PERMIT USE= SEWER CONNECTION -- WOI._F"CF'F"T
) n -•'r•• SEE NOTE *•*•)*
PARCEL -O-_ 22544-2806
PLATO= 00 945 PLAT NAME= WOLFCRE::S T• ADD
BLOCK= 1000 LOT= 6000 ZONE= SFR
AREA= 00( 0000 F/A=. r WIDTH=
OF r{i. DGS:_: 1 :n: DWELLINGS= i WATER DIST
DIST:=
DEPTH=
R / LI= 50
OWNER= BLAKESI...E T PHONE=
STREET= 1 1 1 3 S BL.{1KE. RD
ADDRESS= SPOKANE: WA 99216
CONTACT NAME= DONNA COURCHAINE F'I-!ONE NUMBER= 509 924 5485
BUILDING SETBACKS. FRONT= NA LEFT= NTA RIGHT= NA REAR= NA
K********************.******** SEWER PERMIT h• )i• 1l' :R * )t * )k )t )t )l ){• •Il• 'R •7E ii it )E )i )t- )t 7.- )t• )l- P: )i- )+.- R' 'A- )t -
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 1 640 E. _VAl_.L_E VALLEYWAY
ADDRESS= VERA.DALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING i••E..L.. 10a00
SEWER CONNECTION 1 40.00
PERMIT TYPE:: FEE: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50:00
PHONE= 509 924 5485
50.00 >0;? 50=00
PROCESSED BY: JUL. I E SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE {L..E AT THE COUNTY
UTILITIES DEP AF TMF.-NT (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, C;AE PIPING.:, WATER LINES, E.CT,
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
)f•)c•*******• CALL FOR INSPECTION PRICE, ..T.0 COVER r d-x•******•u*
•ri•iE -*•iE•ii• •ii* 24 HOUR NOTICE REQUIRED ***ii•>ti:ir)4-•b:•*
ii*ii**•icR*-;i: 45E) --3E1174 *n:•x3ra)r*)i)i)i
)i* **)i•)i•*****)i•***)i••Y:•**•i *)*.*k**ter'•*k•* THANK YOU )c).**#N:***)i}t-*#*•n:******iii*****)i•****