1990, 03-30 Permit App: 90001211 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= 90001 21 1
DATF= 03/30/90 PAGE= o i
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SITE STREET= 10804 E MAIN AVE F'AFi`C;FI.:„:::: 16543––
ADDRESS=
,5'y4::? ,..ADDRESS=: SPOKANE WA 99206
PERMIT USF= SEWER CONNECTION .»- Frl^•s7..-1
#* SEE NOTE ***
'LAT :=- 001052 FLAT NAME= PE ORTHNI'TY (TR.1–i 421 NL. 143W-35
BLOCK- 149 LOT= ZONE At:SIIrC I}ILT'w= F
', °EA 00000000 I” r/r.:t^^ I.. W.I T I..I = j t)0 I1F'F'T'Fi 'r )t) FR/w=
OF 8l...DGS=•: H: I)WEI...i.. T NGS i
OWNER= NACCARAT0 ,. JAY r- ;.r _
STREET= 1 (fth'4 = rit•;.t.+=
ADDRESS- SPOKANE WA 99206
CONTACT NAME= DONNA COt.TRCHAINF . .;I"'P—
NA RIGHT= NA REAR= NA
ii ii• * k li•'r;• # # i{• fit• # # # # # •it• Vit• •A Yi• }F # # ii• * 1d• •K• # •ii ii• SEWER F•' .:. i T j .. # »; a # a• * * * # * K # # # •i@'r: # * # # # * •ii• }i. ii..ir •ii •}i• * #
CON TRr' CTOR= COURCHAINE CONSTRUCTION
`TREFT- 16402 E Vr,I_.L_EY6JAY
ADDRESS= VERADALf: WA 99037
IITEi1 DESCRIPTION
PROCESSING FEE
PHONE= 509 924 54A5
QUANTITY FEF:' AMIlI INT
----------
SEWER CONNECTTON i 40,00PERMIT TYPE:: FEE AMOUNT AMOUNT PAID Ai (7►.IN T nWTf;
SEWER PERMIT 50.00 .00
50,00
PROCESSED BY . ,.+t;LTI . ,"HAT 1
PRINTED BY JULIE SHATTO
.00 50..00
uIER :!... ,}.,� AS–BUILT INFORMATION TS AVAILABLE AT THF COUNTY
UTILITIES DEPARTMENT (456..•.3604)
OCNiW.i;1i:,' L.! v! 1 »� `,.. LOCATE ANT �r
Jr -.i -I HE
EL..EVATION AND POSITION OF SEDER STUB PRIOR Tr► ANY OTHER
THE
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES', F'C:T..
ril:.,r;ir:I:_ YfI1 DIG (.456--8000)
,SE'WE'R STUBS ARE TO iff:. PHFCKED PRIOR Thi l"CiNNECTTON To :l?JZuRE
HAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE ;";� L r R
) ) * CALL FOR INSPECTION PRIOR TO COVER i#***#**##*
***** •##n- 24 HOtIR NOTICE REQUIRED ##•1F#*****
;ax**x•x•# 456-3604 **•;t# •*****
:Yi•#i><•aE**##7i•#3@ii•#ii•###)t****3t-##•lE##)i•### THANK You •k•)i•#)i•#i(•#•3i•#R•#••ii-d49f•###3i•##•}Fi67t•*#ii•#*?k:"ii•*
JOB ADDRESS:
SUBDIVISION:
1 - DOS LoT:
I�Qe_aoTilot
ADDRESS:
CONTRACTOR: (1_291-L-4
ADDRESS:
PHONE:
PHONE:
BLOCK:
0
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY: