1989, 11-07 Permit: 89004416 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, 1 have read and understand the INSPECTION REQUI REMENTS/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 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 HATE
PROJECT NUMBER=
89004416 DATE= 11 r'0'j`:`::19 PAGE= 01
ISSUED PERMIT
T
*•F•'u•**)h*-}f)l-}f-)l•){•**7l•}t*yt9{•4{lk)i-Jk*)t•}tJt P#::.R SIT INFt:1RIiiATT(:1N h'r*•}i..}i*a• :•****** ****)i••h:•*)t-•k•Vii•ii***
SITE STREET= 10 N BOLIVAR f'P PARCEL -4= •i 45-,.4-8-284'
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION "- (,86....2
•*• SEE NOTE )t•*)t
F''1._AT:p:=:: 00 2970 PLAT NAME= 7 1:F::C:I...F RE SUB
BLOCK= 6 LO1' 7(iNE:-: A(.",;r."1.ir:{ DISTO= F..
AREA= r)0000000 r/A=: F UJTr;('F•I::: DEPTH= F;° -L.1=
4 WF1...1....1.N(; ::: i
OWNER= Pfi`'f'T:}i...F::, RUDY
STREET= 10 N BOLIVAR RD
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME= DONNA ._. L tiUFi:C:HATNF CONST PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FF{:ON's::: NA LEFT= NA RIGHT:::: NA REAR:: NA
:•,F" 1,.i r'. F f } F:. F ' r` .. I s, •b: •)•• : 3' h:• ){ •R::. * p' •P:• )t• b:. S: h: .)(..* * ......P:. H: * •1: 3 P•
.}t. •�: •}�:.p:' jh •}�: •}H •P: •H: P' �:• }�::A..p; .R. p..� .q; .j� p. k..�..j�..p; .}(..A .�..}4• �:• :•. F
CONTRACTOR= COURCHA iNE CONSTRUCTION
STREET= 16402 40 r: V'A1...i...E`r WA T
ADDRESS= i ERADA1...F WA 9903
ITEM DESCRIPTION
PROCESSING EEE
SEWER CONNECTION
:I.OP
509 924 54 8r_
QUANTITY FEE AMOUNT
Y`
-10,00
i
40,00
)i )t. ri. );..A....}t..0 * * n: ){ )t• * * •i•: n: • : •h:• )e N• * * . * -}{• * 3'i 1 )': ' .. .
i'' bi Y 1''1 F:: i'� I ,�> 1, i j'•. f !�1 i �:• •N: x ri• •}�i h: h: }{ �: •n:• �: •a:• •}�: �h:• a: )i• �: a• •h• ki• •hi * k R: * * n: ii•
PAYMENT DATE: RI=CF•"TPT:„ PAYMENT AMOUNT
41/07/89 5555 50.00
TOTAL DUE=;. 00 TOTAL PAID= 50.00
PERMIT TYPE FEF:: AMOUNT AMOUNT FAIL; AMOUNT OWING
SEWER PERMIT 50.00 50.00 00
50.00 50.00 .00
PROCESSED BY: •..J1.li...:1E; ;•(..iATTo
PRINTED BY: JULIE S1.{ATTC1
SEWER STUB AS—BUILT INFORMATION TS f'VA.1:1...At't1...1::. AT THE COUNTY
UTILITIES DEPARTMENT I !.456....3604i
CONTRACTOR (:lF: APPLICANT C::Af-;..t. .1. ,, .Tri FIELD i..isC:':.r.^ITl:: AND CONFIRM ..(.1..;1::•
E1...EVAT..[11P.3 AND POSITION OF SEWER STUB PRIOR TO ANY
EXCAVATION
TO 1...(:l(:::"••,•rF: BURIED (".At:t1...1.:.;.;, GAS PIPING, WATER LINES, F(::•T
(::A1._E.. BEFORE i••,i3 3 YOUYOUDIG (456-8000) :}i:0)
SPOKANE 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 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 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 HATE
PROJECT NUMBER= 99004416 )'}A•'j'F:'= ii/07/R9 PAGE,- 02
TESUED PERMIT
EF -WEE :TUBE ARE TO BE CHECKED D 1=`R i:;:iFt TO CONNECTION TO IN :I,fR
THAT THEY «Et:i. CLEAR AND !_i •!(:IB i•Rt.ii_..TE:ti Tu:t THE SEWFR MAIN
it * i! * N: r• a * CALL FOR :i: N ,'>' i:: E_ c..E..E i:: i N PRIOR r f'i i:'.. t :v E l t it• •x' * * a• ri : *
ie• :a •it• * * * :n: 'h: •p: 24 HOUR if E 1 fFREQUIRED hhA;hhhum
}*r }Ha}j R 456-3604 p 9
f 77uuk!
y(. }t.:p•.*.p.' N:• •}{• •» i{• ':• •P: •h:• •}t• * r. ,... )!• :e. •P. R•.),:.};....h; •h:• * • ...*.},. THANK
•iPtj (_..h*} n n r u1 .. . . . n
n *p*}**Ah hhh*iri
L
r
SPOK /NNE
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
November 2, 1989
COURCHAINE CONSTRUCTION
East 16402 Valleyway
Veradale, Washington 99037
To whom it may concern:
Pursuant to your request for sewer permits at East 11521 Main Avenue
and North 10 Bolivar we are issuing an authorization to proceed with
construction.
Please be advised that the fee for the permits is $50.00 each and
payment must be received no later than November 2, 1989.
Failure to remit this amount on or before the specified date will
result in a double fee being assessed.
Thank you for your prompt attention.
Sincerely,
Julie A. A. Shatto
Permit Technician
JAS:rmd
ciLe' c--
iH
(3
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509) 456-3675
FAX (509) 456-4703