1990, 10-31 Permit App: 90005808 SewerSPOKANE'. OUNTY 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 REOUIREMENTS/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= 90005808 DATE= 10/31/90 I••'AI.GI: _ {: j
APPLICATION
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SITE STREET= 2 709 S DISHMAN MICI't RD PARCEL.4== 29544-0522
ADDRESS= SPOKANE WA 99206
PERMIT USE:-•: SEWER CONNECTION -• 1']:EHMAN--MICA ]INTERCEPTOR PKG 42
*** SEE NOTE **
PL..AT4= 000382 PLAT NAME= CHESTER HILLS ADD.:
BLOCK= LOT= ZONE= AGR I D:C S T•:M=:: F'
AREA=. 00000000 F,A= F WIDTH=: DEPTH= : R;'LI
ItL.DGS= DWELLINGS=
OWNER= SCOTT, PAUL E F'F,IONE=
STREET= 2709 S DISHMAN MICA RD
ADDRESS= SPOKANE WA 997.06
CONTACT NAME= DONNA COIJRCHAINE PHONE NUMBER=: 509 924 5485
BUILDING SETBACKS: FRONT= NA L.E.FT:::: NA RIGHT= NA REAR= NA
i1 * * h..h. il. it ii- it 'k 'A: =n- * il- i4 i{ il• iE * * •)r * iL • il• •M1• •b.• • * SEWER PERMIT ii i{ •h:- #:- * ii• ii k. 3i A.:p..it..k..p. * b- -b:- it• ii• h:- ii- -ii- it :n: *:>t.* * i':
CONTRACTOR- COURCHATNE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 L: VAL_L..EYhAY
ADDRESS= - VERADAL_E. WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
F'RC)CF:SS]:NC; FEE 4 _.___ 10.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
EEWE::R PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: JUI...:[E SHATTO
PRINTED DY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION ]:S' AVA]:L.ABI...E AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THF
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE:: BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL. BEFORE YOU D I. G (456-9000)
SEWER 51t.BS ARE:: TO BE CHECKED F'RI:C)R TC) CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*it- :*it-iti1•* C'AI...L.. FOR INSPECTION PRIOR TO COVER •uikitii• •**ikii•*
-x•ii•iiii•it-iiii** 24 HOUR NOTICE REQUIRED •ri-i6it-ikii•ii•ia:dEiEit•
.u. ii• ii..p::A..u..p...k. * 456-3604
ye * * * •n- it -n• it it- it i( ii• •'a.- * -n: -x: •u• ii- •k -k• * iF it * it * ii• if * i+ .ii. it THANK Y .. i it ): iE ii- •ii• •iG :o: n• •n• •x- ii• -ir * * jt * * it• it it •r• * 3r ii• it •ri• tir t• it * . **
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: October 31, 1990
TO: COURCHAINE CONSTRUCTION
East 16402 Valleyway
Veradale, Washington 99037
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application
DATE
10/31/90
PROPERTY ADDRESS FEE
S. 2709 Dishman.Mica/90-5808
N. 120 Willow Rd./90-5800
N. 112 Willow Rd./90-5801
N. 103 Locust Rd./90-5797
N. 109 Locust Rd./90-5796
$ 50.00
50.00
50.00
50.00
50.00
Amount due and payable $ 250.00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to November 10, 1990. Failure to
remit this amount on or before this date will result in•a double fee
being assessed.
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509) 456-3675
FAX (509) 456-4703