1991, 09-20 Permit App: 91006123 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 agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, 1 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 OR AGENT DATE
PROJECT NUMBER= 910061 23 APPLICATION DATE= 09/20/91
3i•3r**** THIS IS NOT A PERMIT 3i:*3r*3i•3e
PENALTIES WILL I:BE: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
PAGE= (?i
SITE STREET= 1707 .S MCCABE RI)
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- WOLF"CRE"S T
ii3E3i SEE NOTE ***
F`ARCEL.• = 27541-1513
PLATO= 001841 PLAT NAME= OPPORTUNITY TERRACE
BLOCK= •i LOT= 13 ZONE= AGSUB DIST: - F•
AREA= 00000000 F= /A= F WIDTH= DEPTH= R/W=:
... OF BL_DGS==: i 4 DWELLINGS= •i WATER DIST =•
OWNER= ZALOMSKY PHONE=
STREET= 1 707 S MCCABE RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT:- NA LEFT== NA RIGHT= NA REAR== NA
3t• 3( 3i 3i 3E * * x 3i? 3G 3i 3@ 3i 3i * 3k 3i• * 3i 3i• 3r •x 3i 3i 3i x• 3i• 3@ 3i SEWER PERMIT
CONTRACTOR:- COURCHAINE CONSTRUCTION
STREET= 16402 E VALL..E::`r'WAT`
ADDRESS== VERADALE WA 99037
3@3f 343k3k** R•***3i *3a 1{ H 3k 3(it 3{ 3E'*3t u •'n.' 3L.3r*
PHONE= 509 92.4 5485
ITEM DESCRIPTION QUANTITY F EE:: AMOUNT
PROCESSING FEE •._ •s 10.00 ti,Ei7
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50,00 ,00 90,00
PROCESSED BY: JULIE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE::
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE. SEWER R MA:LN
3i•3i3t*3t3i3i3iX CALL_ FOR INSPECTION PRIOR TO COVE:F? 'k3i•k•3ek)t**3i3t
3i•3F3t•3i•3@3r** 24 HOUR NOTICE REQUIRED 3r3E3P3E3k3i•##3t•3i
3k 34 3* 3i 3i 3.3{ 3i• 3k 456-3604 'ii 3t 3i 3e x 3i * •k• 'k '
3t3t•3{•*3r3f•3i•3f•3i•3i•3h3*3E3f•3i:*3i•3i•**3i•3i•3i3i•*is*3c##3i3i THANK YOU 3i•**3t•*3i•****3k3{•3i•***3r3i*3r3t•*3E3f•3i•*3i•**3i•*•**