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1992, 02-05 Permit App: 92000622 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, 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= 92000622 SOWICATIO DATE= 02/05/92 PAGE::: 01 ***ii•** THIE IS NOT A PERMIT iiii••ii•*** PENALTIES WI:L..L.. BE ASSESSED E::1' FOR COMMENCING WORK WITHOUT UT A PERMIT RMi:.1 SITE ETREE:T= 1 710 E PINE,' RI) ADDRESS= .SPOKANE WA , G5 O PARCEL0= 28541-0106 PERMIT USE= SEWER CONNECTION .-' HILL..CR:FST (92S'••'64 *i*3* SEE NOTE *** PLAT;:_ 001220 FLAT NAME= HIL.l_CF EET PARK ADD BLOCK= 1 LOT= 6 ZONE= SFR DIS T x = F y' AREA= 000000,~-,0 F/A =' F WIDTH= DEPTH=... OF EsI...Dt.TS== 1 v DWELLINGS= 1 WATER DIET :_ OWNER= DANIEL, ROMA STREE:T 1 t 't v E PINES S RD ADDRESS=: SPOKANE WA 99202 PHONE= f .W= CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485 BUILDING ,SETBACKS: FRONT-: N/A LEFT= N/A RIGHT N/A REAR= N/A .it..it..b.*.j;..i,..b.:t{ * * •bi * •i(..b...it..jt..* .* b: •ii * * b: * .i,:.ii •a:• 3 R ; ... •h:• •b: ie .i• , .. .;' x• �u )6 h:• •ii• fi: a• i*• fr it •b:• •i* it h:• i* * .* * ii• i* b: * iii 3r •l>: :k CONTRACTOR== COURCHAINE CONSTRUCTION STREET= 16402 E: VAI._L..E:YWAY ADDRESS= VERADALE WA 9903 PHONE= 509 924 5485 .STEM DESCRIPTION QUANTITY FEE: AMOUNT ------------------------- PROCESSING FE:: Y 10.00 SEWER CONNECTION 1 40.00 PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50.00 :.00 50,00 50,00 .00 50.00 PROCESSED BY: DOMITROV ICH . ROBIN IR.I.NTED BY: I)C)MITROVIC;H, ROBIN SEWER ETUB AS -BUILT INFORMATION IS AVA1:LAI:BI...E: AT THE COUNTY UTILITIES DEPARTMENT NT (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: CHECKE:I? F'[ 1:OR TO CONNECTION TO INSURE TI -IAT THE:Y ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN a*•i**•x.••ic•*•**r; CALL FOR INSPECTION PRIOR TO COVER **3**m***•b:• •ii•*•i*i*****i* 24 HOUR NOTICE REQUIRED i*3***3*3*** ji• i* y1: * :P: 7* * 'll' * 456-3604 'il• 'K.k.b: i+:.n il..ii :lt. •1* y*3*7l•ti*A:*i***•i*y*3**1*'1*j****Yi****'***** *** THANK YOU i*•i*b:**r..xn*•r.h>~**3*3*•u**x)t *a*n*,ti*:�*:,Fi,.Y.