1992, 01-22 Permit App: 92000363 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, 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= 92000363
APPLICATION DATE= Oi/22/92 PAGE= 0i
****** THIS IS NOT A PERMIT ******
PENALTIES WILL. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 607 S MCDONALD RD PARCEL= 22541-0914
ADDRESS= SPOKANE WA 99216
--PERMIT USE= SEWER CONNECTION — SOUTH BLAKE 4.903 (92S-28)
*** SEE NOTE ***
PLAT -4= 000279 PLAT NAME= BURCHELL ADD.
BLOCK= 1 LOT= 1 ZONE= AGRI DIST4.= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4. OF BLOC'S= 1 4. DWELLINGS= 1 WATER DIST =
OWNER= CHANEY, CALVIN
STREET= 607 S MCDONALD RD
ADDRESS= SPOKANE WA 99216
PHONE=
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
at**************A***pix******** SEWER PERMIT ******************* **********
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
PHONE= 509 924 5485
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE. Y 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT F'AID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
.00 50.00
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IE TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TC) 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 MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
******** 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ********************************