1991, 10-02 Permit: 91004021 Sewer SPOKANE 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 o and understandm 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= 91004021 I%%UED PERMIT i0/02/9i PAGE= 01
** ** ********** *********** PERMIT INFORMATION ****************************
EITE %TREET= 2906 % RAYMOND CIR PARCEL4= 29544-0610
ADDRE%%= %POKANE WA 99206
PERMIT U%E= %EWER CONNECTION — %OUTH KOKOMO
*** %EE NOTE ***
PLAT4= 000376 PLAT NAME= CHE%TEH HILLS HEIGHT%
BLOCK= LOT= ZONE= AGRI DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH=
4 OF BLDG%= 4 DWELLING%= WATER DIET =
OWNER= JANTZ WALTER PHONE=
�
%TREET= 2906 RAYMOND CIR
ADDRE%%= %POKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER pERMIT ******************************
CONTRACTOR= COURCHAINE CON%TRUCTION PHONE= 509 924 545
%TREET= 16402 E VALLEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 .00
%EWER CONNECTION i 40 .00
******************************* pAYMENT %UMMARY ****************************
PAYMENT DATF RECEJPT4 PAYMENT AMOUNT
10/02/91 7155 50 . 00
TiTY' AO DUE= . 00 TOTAL PAID= 50. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
EEWER PERMIT 50 . 00 50.00 . 00
------------- ------------ -------------
5O. 00 50.00 . 00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER %TUG A%-BUILT INFORMATION I% AVAILABLE AT THF C�UNTY
UTILITIE% DEPARTMENT ( 456-3604 >
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER %TUG PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% �A% PIPIN� WATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG ( 45"-8��O)
EEWER ETUDE ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE %EWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************