1989, 12-04 Permit App: 89005033 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, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreetovnm / nh same. All provisionsoflaws
and ordinances gover/ this type f work willuovom lied with whetherspecified herein or not. I understand that the issuance of this permit and any subsequent
inspection approvals or Certilicates of Occupancyshall not be construed to give authority to violate or cartcel 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 nATe
PROJECT NUMBER= 89005033 DATE= 12/04/R9 PAGE= Oi
APPLICATION
********************************* APPLTCATTON ***********a��,'����vx********
SITE STREET= 13014 E 23RD AVE PARCELO= 27542-2035
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 001846 PLAT NAME= OPPORTUNITY TERRACE 4TH ADD
BLOCK= 7 LOT= i ZONE= AG%UB DI%TO=
AREA- OOOOOOOO F/A= F WIDTH= DEPTH=
0 OF BLDG%= 4 DWELLINGS=
OWNER= WAT%DORF, ART
STREET= i3014 E 23RD AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 924 4843
R/W=
CONTACT NAME= DONNA COUP' PHONE NUMBER= 589 924 54R5
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** :.:EWER PERMIT ******************************
CONTRACTOR= COURCHAINE CGUCTION
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
PHONE= 509 924 5485
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40.80
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
SEWER STUB AJ -BUILT INFORMATION I% AVAILALL . .
UTILITIES
CONTRACTOR OR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
70 LOCATE =ED CABLE%, GAS �IPIN(7,,
CALL BEFORE YOU :CTO
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 REOUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************