1991, 12-04 Permit: 91007158 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= 910074 58
ISSUED PERMIT DATE= 12/04/91 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 202 N BOWDISH RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -•• B87-1
*** SEE NOTE ***
PARCEL -4= 16544-0432
PLATT= 001839 PLAT NAME= OPP. TR. 1-354
BLOCK= 128 LOT= ZONE= AGSUB DIST4= F
AREA= 00000000 F/A= F WIDTH= DEPTH=
OF BLDGS= 1 : DWELLINGS= 1 WATER DIST =
R/W= 50
OWNER= BLAKE PHONE=
STREET= 202 N BOWDISH RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION
PROCESSING FEE:
SEWER CONNECTION
PHONE= 509 924 5485
QUANTITY FEE AMOUNT
Y
10.00
40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
12/04/91 9181 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT 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 IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TC) LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWE:R 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 *********************************
SPECIAL CONDITION CHECKLIST
Project
Address* Project #_ Use
Dept: Date Condition:
Dept. of Bldgs.
Special Insp. Final Report
Hydrant ( )
Lock Box
iy11.3i; l'.;;•-
Init:
(in)
-T. is, ; , ..t . .. )-*. )
„...ngineer s ID/CRP
Easements
%.•• ;•!:: iNilakans/Improvements o -t
Bonds
Planning
Othe'r-
19
•••• •
1
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Bonds
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reit )1tl;
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11
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THIS SPACE FOR COMMERCIAL PLANSiIRCKiNd,\CER-601CAtiEbrO&UPANCV
11T ,f1:7!-!; A-1 " • •••;; 741_0
Date received for C/0"preitet§ing'• t ; • • I ••• ;; • • • It" -1' Plans pulled for findI brdeend.4:1
Temporary 0/0 issued' Certificate of Occupancy issued:
, • _,"! t ! • ; ; ":11" 1;1 "
Office file review by' ; • Date: '
Filed insp finaled by: ___ Date`
1, , t•ii
1..ir ii;
Ninety days after 0/0,i5sEtaindett";;;; t.. ; •••;', -;!!-•itf- •;1• •"1.
Ownericontraetnt.callad..regar4,9g the return of plans. _ - • ; Datei, •A; -
Plans returned. ....Received by.
No response from owner,•contractor - plans destroyed:
Appr:
(out)
: