1990, 03-28 Permit: 90000937 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/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 Taws and ordinances governing this type of work will be complied with whether specified
herein or not I understand thatthe 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
PR :l...Ji:i;1.. NUMBER— S'00(0093 r
U C:,TFi _:: t9.72s/90 i''Fa'i'.I:[c:: c) {
T: yIIE13 PERMIT
8e:/1{:3*....:.{..pi.)E......@.n:1i#)f:ri..ri.:ft.*.)e1*.)i..h))::ri*)4§{){){ pli RP IT TNEriiPt i T:I:0IN 1x:3;;r.:3.:,;dt.i3a{..e*..e 1)1, 1e)t i4 it1i ii..)::t{.i4)r:»:)P9r i::
SITU STREET= 1624 S MCDCON? LD r.,
ADDRESS= SPOKANE (dA 99216
PERMIT USE= SEWER CONNECTION
*ide ,:F:F: NOTE: )':pile
:,l,.);.c_NAME= " -LflY,ir�� TERRACE
BLOCK- 6 L01- 4 ,..tire::.:::: ;.d..,. (Ii"i tVI :: T':;::::: L.
AREA= 0k)')00000 F'/ F:,=:: p:' WIDTH= i'' Silil:i'i'H..:: 145 Fi:ld.:.:
ii OF BLDG.= :o: DL•.II:'.I..J...ErJ[:,!:C 1
OWNER= COME>'1_ON , T)AF{i._EN E:
STREET 16:.'.4 S h(:;DONAL'1) RD
ADDRESS- SPOKANE WA 99216
• CONTACT NAME= DONNA CoURCHAINIE
27542-0104
PHONE NUMBER= 509 974 5-0{5
I l_J.I.LD1r)t; SETBACK:, BACK,.> . FRONT NA LEFT :.:: NA Gi:T id r; REAR== NA
e:e*v+ar .hitsi.i);;{{. ): ;c )d 3ic e e nk¢ SEWER PERMIT •3.r AAfiPP3R
A3*$(PY: i_hF R.h..A..p•aiY
CONTRACTOR= COUI CHA:[NE. CONSTRUCTION
STREET= 1e'40' I:_ VAI_.I_.FILIAY
ADDRESS= VEEFsADAl 1 WA 99037
ITEM DESCRIPTION
PGOCC::'ING FEE
SEWER CONNECTION i 40.00
*N.* g:vi * )i: * d@—* * pi—* V. ti..li..k..1i. ie d4.if. i4 * * di de PAYMENT SUMMARY * -0e ie.p.1e .p: * s;. p: dr h Y. ,*31. u—* p' p—rt p. .n: 3).
PAYMENT DATE RECE1:l'"i'ii: PAYMENT AMOUNT
03/2O/90 4402 60,.00
TOTAL 1)IJE, .tOt:, T'OTAI., PriTD:_ 50,00
PERMIT TYPE FrEF: AMO14NT AMOUNT PAID ear rji.iiNT 0IdINi,;
:EWER PERMIT r.;0.,00 50.00 ,00
509 92 54O5
QUANTITY FEE AMOI INT
1030
50,00 50,00 . 00
PROCESSED 1,'Y . JULIE SHATTO
PRINTED 1:{'Y': JULIE t'I-IATTO
;:iE:WE:F: S..i'wt AS....pu:r1..'L INF'CIFThAT'TCTN I:l_AYtl...E A_. THE COUNTY
UTILITIES DEPARTMENT (456-3604\
CONTRACTOR OR APPLICANT IS To F'1:1:1..1) iAICA('r: r''ND) CONFIRM THE
E:L..I:LtrA'T'ION AND POSITION OF <F:I,J[k STUB Fr1101- ..i'(1 ANY (1THER
EXCAVATION
TO I_.rif.'.AT(;: BURIED
A7CABLES, ,AS P
IF TNf. WATR LINES, FGT.,
1=-)�rYOU DIG (456-2000)
SEWER STUBS ARE:: TO 111 CFICCKED PRIOR TO CONNECTION TO
THAT THEY
ARE CLEAR
AND UNOBSTRUCTED
TO THE SEWER MAIN
apd*ugeap CALL FOR INSPECTION PRIOR ,rCOVER ipRtpEgp;
;
rxddeTep24 HOUR NnCIC_REQUIRED
de *di. da ;e de *di ie )e
***no** 4`i.:l _ $U4 ***p::y.deiep:dtp?
3*»e rreedH-0d)8tie*;c6...dedFJ@ THANK 0l nry n.- - dN rke h
E deAk#dr didididr )e dr