1991, 07-08 Permit: 91002206 SewerSPOKANE COUiy r w .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= 91 002.206
ISSUED PERMIT DATE= 07/08/91 PAGE= 01
******** •***** •******* ***** PERMIT :CNFORI'iATION *********** ****************
SITE:: STREET= 1ii 0 7 E 23RD AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -•• NORTH KOKOMO
*** SEE NOTE ***
PL..AT4= 001 393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 18 LOT= ZONE= AGSUB DIST=
AREA= 00000000 F/A=: F WIDTH=: DEPTH
4 OF BLDGS= i F DWELLINGS= i WATER DIST =_
F'ARCE.L4 = 28542-3211
OWNER=: ROTCHFORI) PHONE=
STREET== 141 07 E 23RD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME== DONNA COURCHA I NES_ PHONE NUMBER= 509
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR- NA
I.�
R / W
924
5485
***************************** SEWER PERMIT : •***•x**• • •;{• • **•*• • *• •;r•x•**R*•x• *
CONTRACTOR= COURCHAINE CONSTRUCTION
STREE:T= i 6402 E VAL.L..EYWAY
ADDRESS= VERADAL.E WA 99037
ITEM DESCRIPTION
PROCESSING FEE.
SEWER CONNECTION
PHONE= 509 924 5485
QUANTITY FEE AMOUNT
r`
10.00
i 40:00
******************************* pAYME.NT SUMMARY *•*•;r•>t***3****3;* •**3*** ********
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
07/08/91 4466 50.00
TOTAL. DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 t t
50.00 50.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AE --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 BURIEI) 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 **********
••x**** ** 456--3604 xiE#iE• **•x*a
******************************** THANK YOU *******3*************************
Project
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