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.