1989, 11-02 Permit App: 89004421 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 and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition. I have read and understand the INSPECTION REOUI REMENTS/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 and any subsequent
impaction 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 f)ATE
PROJECT NUMBER= 89004421 DATE::: 11/02/89 PAGE = 01
APPLICATION
*)i.3i..u.ft*1 ****************•*i ***A*** APPLICATION****1(•*•1f#9f•#*.1(******#:***********
SITE STREET= 11524 E MAIN AVE ' PARCEL;_.: 16544-040
ADDRESS= SPt1KANE WA 99206
PERMIT USE= SEWER CONNECTION -- B87—I
*** SEE. NOTE ***
PL..AT4= 001852 PLAT NAME= OPPORTIINTTY(TR.1--14.INC:.143--35
BLOCK= LOT= ZONE= AG.SUT•t DIST::= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
r (JF BLDGS= R DWELLINGS= 1
OWNER= CREEGER, CARLO,S
STREET= 41521 E MAIN AVE
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME= DONNA -- COI.IRCHAINE CONST PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
acfi..tt.*..tt..tt..tt.*..tt.*.tt..tt.*** *•#fa*sett.*.*..tt.*.*.*.*. SEWER PE:RM.T.Y' ***ac ft**ae*tt.*.tt..tt.
CONTRACTOR= COI.1RCHAINE CONSTRUCTION
STREET== 16402 E VAL.L.E:YWAY
ADDRESS= VERADALE WA 99037
tt:***
PHONE= 509 924 5485
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
SEWER CONNECTION
Y 10.00
4 40.00
PERMIT TYPE. FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 50.00
SEWER STUB AE—BUILT INFORMATION 1:S AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STLIT?t PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CAI...I... BEFORE YOU DIG (456-8000)
SEWER STUBS ARE.. TO BE CHECKED PRIOR Tn CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456--3604 • **********
******************************** THANK YOU************•tt********************
b.
JOB ADDRESS:
SUBDIVISION:
r1, .5 ?/-3z//?
OWNER: C S r
ADDRESS:
CONTRACTOR:
LOT :
PHONE:
BLOCK:
ADDRESS:
LICENSE #:
INSPECTION DATE:
ifrt-L
PHONE: 9 aq 5//412
)( 77035
9
TYPE OF OCCUPANCY:
5
ocR