1990, 08-17 Permit App: 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, 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9000400.2 DATE= OS/17/90 PAGE= :: ii i
APPLICATION
******ii*********it*•r:)i••x*****ii•it** AP`Pt!CATTIA * ****************************4v*
SITE: STREET= 921 S F•IOUI< RD PARCELt= 22543-1608
ADDRESS=: SPOKANE WA 99216
PERMIT USE= SE:1IF,R CONNECTION -- 680i
*itis SEF ' lTE ***
PLAT -1.= 002412 PLAT NAMF= SOUTH COLLINS AXED
BLOCK= 2 LOT:::: 5 7ONE= AG.:i1P DTST;r= F
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= `> R/I;i
y OE ELDGS= i: DWELLINGS= 1
OWNER= WALSH
STREET= 921 E HOUK RD
ADDRESS- SPOKANE WA 99216
CONTACT NAME= DONNA COt.JRCHAINE
S': /JIL .'.� I.I /IY of 1.. 1` 't`i 1.it: i• I F-7, ! i - jN(1N7-77—
NA
PHONE=
is c �:• ;k •rr: a• r: K h ..* •X k k• t a :n i..: * .k k it it * A ii .k. SEWER PE:'RMIT >•:.h. tt• h: • •Yt )1.3i •u• * * )i• it * * * * b: is * ii * •h:• * ri• * it ir: )r ><:
CONTRACTOR - COURCHA I:NE CONSTRUCTIONPHONE.-:: 909909'Y:'4 54S54P'
STREET,- 16402 E VAL.LEYWr"t'Y
ADDRESS=: vERADAL.E WA 99037
ITEM DESCRIPTION ": T]'1'Y FEE AMOUNT
PROCESSING FEE ti 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID) AMOUNT OWING
SEWER PERMIT 90.00 .00 50.00
50,00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB A,S...Fti.UTL,T INFORMA•1•TON TS A`uAII...ABI..E AT THE fCB.INTr
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR 0Fi APPLICANT IS TO FIELD 7.AFIRM THE
ELEVATION AND POSITION OF SEWER t''j"I..Ift PRIOR Tf) ANY OTHER
EXCAVATION
TO LOCATE: ,BURIED CABLES, GAS PIPING, WATER i TNI --•S, FCT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRT0r TO CONNECTION in TWAIN:
THAT THEY Y ARE CLEAR AND tJNCIFtsTRt.JcTED TO THE ::EWER MAIN
********* CALL... FOR INSPECTION PRTOR TO COVER *********ii
******it** 24 HOUR NOTICE REQUIRED ********i*
* * *•kit * * * 456-3604 ii A: ii ii• .k it *)r •M• ii•
4i**********************k****N•itit•#. THANK '(fu )f .::)i•)t)i*H*)i)ED:*iii*)i)i)i•H:h•ri*)t-#ii•*** )E ){