1992, 06-29 Permit: 92003368 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/vemfymut/huvooxummoum/uperm/vun»nvonon.ututematm°m/v,manonoonmmoumoanuauum/«ouuvmovnnvagentmoomvn000mp rmit/application is true
and correct, and authorize Spokane County to m000 u» processing. In addition / have reaand 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= 92003368 ISSUED PERMIT
DATE= 86/29/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 1804 S BLAKE RD PARCEL4= 45271.1508
ADDRESS= SPOKANE WA 99206
PERMIT USE:: SEWER CONNECTION — SOUTH BLAKE (92S-464)
*** SEE NOTE ***
PLATO= 002752 PLAT NAME= VERA
BLOCK= LOT= ZONE= AGRI DI%T�= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= 1 � DWELLINGS= i WATER DIET =-
OWNER=
O R= MIL ON JD PHONE=
STREET= 1804 % BLAKE RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
06/29/92 4963 50.00
10TAL DUE: DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
cl-WER PFRMIT PERMIT 50.00 50.00 .00
------------- ------------
E3000 :)(*)00 5(*).00 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION is AVAILABLE 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, 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
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************