1991, 12-19 Permit App: 91008727 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= 91 0,106727 iiiDATE= 12/19/9i
PAGE= 01
ii •***# THIS IS NOT A PERMIT tri *x*•ri
PENALTIES WILL BE. ASSESSED FOR COMMENCING WORK. WITHOUT A PERMIT
SITE STREET= 1 621 S MCDONALD FSI) F'ARCEL_4= 27541-1922
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 801 (91E-148)
*a-* SEE NOTE *:**•
PLATO=
BL..00K=.
AREA=
OF BI._DGS:_
OWNER=
STREET=
ADDRESS=
001 841
5
00000000
A
PLAT NAME::::
LOT=
F/A=
DWELLINGS=
BL..ACKAR?_j R A
1621 S MCDONALD RD
SPOKANE WA 99216
OPPORTUNITY TERRACE
122 ZONE= AGSUjT 1):I:NTO:-:
F WI:DTH:= I)EF'TH=:
i WATER DIST _.
CONTACT NAME= COURCHAINE EXCAVATION
BUILDING SETBACKS: FRONT-:: N/A LEFT= N/A
)R• *• * 1i• *• R• -ZI *• * •1t al Il *• *i *.• •jI• •)t 3i• *• !i il• * *:.j{ •.} * 3 - SEWER I:' r R M T T
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 16402 E VAL_i._r Y WAY
ADDRESS= VE.kACjf`:ti._E WA 99037
PHONE::-
PHONE:: NUMBER= 509 924
RIGHT= N/A REAR= N/A
54%c
y{jlNt'i' -R' .. '.. •.. -.... '.. 41 : *i'M' 7l' *i'14•'1414. 7l' *: 71'/4' . • - *: *: Vit' *i
PHONE= TONE::- 5t) r 924 54S5
..
ITEM I)E.SCRIPTION QUANTITY i•ITY FEE AMOUNT
PROCESSING FEE i` 10..00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE.: AMOUNT AMOUNT PAID AMOUNT OWING
---------------
SEWER PERMIT T 50.001 .00 50.00
50.00 .00 50.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT T (46—' 04)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE=S, GAS PIPING, WATER I...IN[=S, ECT.
CAi...i... BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TC} CONNECTION TO INSURE
THAT THEY t -RE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
*•; ** *'*** CAIL.. FOR INSPECTION PRIOR TO COVE F ***• •*:3c***-*
•ji•**• -*• • •*•*: 24 HOUR NOTICE REQUIRED *-******>t -*
*S*i$..•...j...•jt'yf• 456--3604 •) **: *:*:*:*
*- it # * -jt• * *: 3{-'jk •j1• it' *:9t *; * *• * .... •R. '.7i• *: ;x,• .. *:. *• * *• *t THANK i' o l_I is it- i!- )t ii- *: ?; *: *: *: )l- i/: *: •j(• * !t• *• *: *- *• * *- *• *: *• * •P.• *-'14' 9R.:5: *- 'P•