1991, 12-19 Permit: 91007788 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 t 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 OnAGENT DATE
PROJECT NUMBER= 91007788
ISSUED PERMIT DATE= i2/19/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12
������� ��
E GUI L, D� PARCEL�= 2742-2907
ADDRESS= %POKANE WA 992i�
PERMIT USE= SEW[
*** SEE NOTE 1
PLAT0= 001223
BLOCK=
AREA=
0 OF BLDG%=
CONNECTION - 49201 HILLCRE%T (9i-%36)
PLAT NAME= HILLCRE%T ACRE 2ND ADD
LOT= 7 ZONE= UR -3.5 DI%TO=
F/A= F WIDTH= iOO DEPTH=
DWELLINGS= i WATER DIST =
WN = PI RIM, . ;ER PHONE=
STREET= i28O9 E GUTHRIE DR
ADDRESS= %POKANE WA 99216
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 927 545
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERmIT ******************************
CONTRACTOR= COLRCHAI
^---= �' '^�*^~ -
�/o�
ADDRE%%= VERADALE WA
ITEM DESCRIPTION
PROCESSING FEE
RUCTION PHONE= 509 924 5485
QUANTITY FEE AMOUNT
-------- ----------
10.00
SEWER CONNECTION i 40.00
******************************* pAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO
12/19/91 9569
TOTAL DUE= .00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID
SEWER PERMIT
50.00 50.00
-----
50.00 50,00
5O.00
PROCE%.ED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB A% -BUILT INFORMA
UTILITIES DEPARTMENT (456-3
PAYMENT AMOUNT
50,00
50,00
AMOUNT
AMOUNT OWING
'---------
.00
.00
. I% AVAILABLE AT THE COUNTY
ONTRA-TOR OR APPLICANT IS TO FIELD
ELEVATION AND POSITION OF SEWER STUB
EXCAVATION
ATE AND CONFIRM THE
IOR TO ANY OTHER
TO LOCATE BURIED CABLES,�A% PIPING, WATER LINE% EC
' '
CALL BEFORE YOU DIG (45�-8000)
%EWER %TUB% ARE TO BE
THAT THEY ARE CLEAR AN
********* CALL FOR IN%PE
********* 24 HOUR NO
�.
********* 4�6
PRIOR TO CONNECTION TO INSURE
�UCTED TO THE %EWER MAIN
[OR TO COVER **********
REQUIRED **********
4 **********
****************************** THANK YOu *********************************