1992, 02-20 Permit App: 92000922 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, 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= 9200:00922
APPLICATION DATE-: 02/20%92 PAGE= 01
•a•*•i**** THIS IS NOT A PERMIT itris•a•*ii•
PENALTIES WILL. BE:: ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
i
SITE STREET= 1405 E MCDONALD FS.I) PARC:EI...1F= 22544--2342
ADDRESS=: SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION .... ULII) 48801 (92S-109)
** SEE NOTE ***
PLAT4= 002753 PLAT NAME- VERA DIST
BLOCK= •I 8 LOT= ZO E::= AGRI DISTO =
AREA= F./A=:: F WIDTH== DEPTH==
A
OF BL..DGS= 4 DWELLINGS= .] WATER DIST =
OWNER= LOVE:, GEORGE E
STREET= 1 405 S MCDONALD RD
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME-: COURCHA]:NE EXCAVATION PHONE: NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= N/A 1...E=.FT N/A RIGHT= N/A REAR:- N/A
SEWER
�r �: it ii- it �ri• �x� �: �� * �� .�. �n• •�:• * �ik r:.M. •k• �� •it •u• i�:� .�. �:� # �: �r �.• PERMIT * * * * 'a: * * it * # x• 3r -ii * # * * * *.fi * * it .n #: * * it * i*
CONTRACTOR= COURCHA:[NE CONSTRUCTION
STREET== 1 6402 E VALLE:. Y WAY
ADDRESS== VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
PERMIT TYPE:: FEE: AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
PHONE= 509 924 5485
50.00 ..00 50.00
PROCESSED BY: DOMI: T R'OV:ECi•1, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
SEWER STUB AS—BUILT INFORMATION IS AVAILABI_.E. AT THE COUNTY
UTILITIES DEPARTMENT (.56-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE ANI) CONFIRM THE
ELEVATION AND POSITION OF SEWER S'T'UB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER i...INES, ECT.
CALL. BEFORE YOU DIG (456-8000)
SE::WE:R. STUBS ARE: TO BE CHECKED PRIOR TO CONNEC=TION TO INSURE:
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
ri• if• it •h:• • • ik N: ii 3* CALL F O R INSPECTION PRIOR r Z- i i COVER M h: �i ii i�: h: h: k; 'r; i4
******K** 24 HOUR NOTICE REQUIRED •ii•i*p• • ••R•*3t•* •
•h:• * i* N:• .pi. * * ii # 456-3604 ...L....,1..}f. * it * 'L: * T.•
*,.,***********4*********)***** THANK y O u 1 * .:R' i* 9: •R• •}* •X• it :k. i* .N. i* 7* * * 7* 7* * i* * i* }* * * * h i* •h i* :H: *