1990, 08-30 Permit: 90004002 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/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, andauthorize Sokane Contto proceed with processing. In addition, / have read and understand the /mapsor/ownsou/nsmswTu/wor/cs
provisions included herein and agree to com/with same. All provisions o/laws onunrdmanos governing this / work°muoc*mon^uwnhwxetxe,sx.em
herein n,not. / understand that the issuance nfthis permit/application *oouov,uuse«ue,tms»ecoo"annm" ls or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions at any state or local law regutating construction, oras a warranty 01 coriformance with the provisions of any state or locat
laws regulating construction,
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
NUMBER- 9O0'')402 :)AT^= &/30/0
ISSUED P�RnTT
************************** vc7RHIT THFORMATION ***************w***********
%ITE STRFET� 921 S HOU.< RD.PARCEL4= ?2543-1�3R
ADDRE��."FDKANE WA 9q2i
PERMIT UgE� SEWER CONNrrTTON - 888i
*** SEE NOTE ***
PLATt= OO24i� ' ' • -= Jt'.;.'. `:• ' ;` .':;
BLOCK= 2 LOT= 5 7ONE= AcSU8 0lET4= F
AREA= 08000000 F/A= F WIDTH= iOO DEPTH= 14� R/W=
4 OF RLDG%= i * DWELLINGS- i
OWNER= WALSH PHONE-,
STREET= 921 S HDH;K RD
ADDRESS= SPOKANE WA '7C216
CONTACT NAME= DONNA COURCHAINF PHONE NUmBFP= 5r)9 924 �4q�
BUILDING SETBACKS: FRONT= NA LEFT= NA RTr;H?= NA REAR= NA
*************************** %FWFR PFRMIT ***m************************
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 16402 E VALiFYWAY
ADDRESS= VERADALE WA 99037
PHONE= 509 924 54A5
ITEM DESCRIPTION QUANTITY FEE AMOUNT
__________
r74ICE%SlNc FEE Y 16(:)0
CONNECTION i
`*«*«**********************p** PAYmFNT SUMMARY **********w»****************
PAYMENT 1 -.)TE RECFTPT* PAvMFNT Am(|kiT
��0/9C) �150 ��`r)
___________
TOTAL DUE:-., .00 TOTAL PAID= 50.0`)
PERMIT TYPT. FEE AMOUNT AMOUNT PAID 44HmiNT nwTw,
--------------- ------------- ------------
SEWER PERMIT PERHIT `00 56.06 .00
-------------
50.00 '50.00 50.80 .00
PROCESSED BY: JULIE %HATTO
PRINTED BY: JULJE %HATTO
SEWER STUB AS -BUT '�NFRM TION T% AVATiAB|F AT THE COUNTY
UTILITIES DEPARTMFNT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOrAT;. AND COWF.TRM THF
5L[VATION AND POSITION OF SEWER STUB PRIOR Tn ANY pTHFR
EXCAVATION
TJ LOrnATE BURIED CABLES, GAS PIPING, WATER LINES, F�T
1 ' �
�-G�c���-���/-D��-��'�-�0 -� — - �� ' -' FC
)
T.
ST:ITIS ARE TO BF CHECKED PRIORTO CONNECTION TO TNSUF,
THEY ARE AND BST U TO THE SEWER MAIN
=****w»w* CALL rOR INSPFCTIoN PRIOR TO C0VFR **********
***A*** 24 :Oi(RwnTicF PFQntR D **********
vx**w**** 456-3604 »*********
``*********x******��' �^*w***************