1989, 11-20 Permit App: 89004817 SewerSPOKANE COUNTY DEP9iRT'AiENT 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 la true and correct. In
addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto 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 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 es a warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT
DATE
I'RO.JI'E:(:T NUMBER= 89004;:;.l
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it'ie R*JI.- e
DATE:- 11 /20/fl I:;AGE= 01
API::'I.. FcA'r1:(3'1
H..R' APPLICATION '✓."Ii.P'Aii'1F'/('il'Rit:lt:t*:rv.R..j!ii"li
SITE STREET= 203 I'J BLAKE. R31
ADDRESS-- SPOKANE WA 99's16
PIIMJ:1 USE= SI:ELII:ER Cf1NNFECTTO%
i4ki3(' SEE NOTE
F: J prF LO= 15544-1506
PL. AT;;:== 00 Ii PLAT NAME= VERA
BLOCK- i r't'r::' ZONE- Af::'i.lr3 DIStair
AREA== 000000 ') F/A= F 141 DTH= DEPTH=
(JE IEILDGS= n DWELL..INGS 1
OWNER= F'IA.JGE N . Arr:Fir::IR
S l RE I =. 2021 N BL_AKI':, RD
ADDRESS== SPOKANE WA 99216
P11fit41:::
R/14=
CONTACT NAME= DONNA COURCHAT HE: pHnNF: NIJrU:F::Ft== Sr.,9 924 541.15
BUILDING SETBACKS: FRONT::.: NA LEFT= NA RIGHT== NA REAR:::: (JA'
....
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CONTRACTOR= COIIRCFVINE CONSTRUCTION
STREET= 16402 E VAL..LEYWAY
ADDRESS= •/(ERADAL..E LIA 9903:
PHONE= 509 924 5485
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSiNG FFEr. Y IMO
SEWER CONNEC::.TTON 1 40,00
. PI:::r{ii11 f'rF'E: FEE AMOUNT AMOUNT PAID AI`'ir:u ' i OWING
SEWER PERMI1 50:00 .00 50.:00
r .00 i' 0 r,; (, , 00
PROCESSED BY: JULIE SHATTtl
PRINTED DY: JULIE SHATTO
SEWER STUB AS -BUILT :I:tNror;a1TIO'id IS AVAIL.:*T3L.F AT THP r'UIINTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR MPC APPLICANT TS ..CO F i.ELI) LOCATE AND CONI'TPN THE
ELEVATION AND POSITION OF .SEWER STUB. PRIOR TO ANY OTHER
EXCAVATION
rc LOCATE BURIED CABLES, GAS PIPING WATER (TOES. r-:r:r,
CAI...L BEFORE IOU DIG ( ::6.._800,;)
EislE:F<. STUBS ARE: TO BE CHECKED PRIOR TO CONNECTION TO INS IIRE
THAT IAT T HE:Y ARE CLEAR AJ'ir UNOBSTRUCTED in THE SEWER MAIN
a ti:i3'u:kiaeieg) CALL.. FOR :I:N;*F'PECT..ON PRIOR "rn COVER i'ii@.)(R'.y:'h)'y)')('3pw:
)tR),::u+i..R.*.)':( 24 HOUR NOTICE REQUIRED tie=uieit—R3eitit'i(
'. k:.k:.R.'ki'Rki'R'i':' 456...,3604 '*R'R'1:i("P:Pi'R.R..k..
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