1991, 07-08 Permit App: 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 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= 91004024 APPLICATION DATE= 07/08/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL.. BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2906 S RAYMOND CIR PARCEL4 29544-0640
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION ._ SOUTH KOKOMO
*** SEE NOTE. ***
F`LAT4== 000376 PLAT NAME= CHESTER HILLS HEIGHTS
BLOCK= LOT= ZONE= AGRI DISTp=== F-
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50
4 OF BLDGS= 4 DWELLINGS= WATER DIST
OWNER= JANTZ WALTER PHONE==
STREET= 2906 RAYMOND CIR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT== NA RIGHT== NA REAR= NA
A**************************** SEWER PERMIT *******x**********************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADAL..E. WA 9903
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 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 : ,..IUL..IE SHATTO
PRINTED BY : JULIE SHATTO
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIEL..I) 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•-13000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* C:AI_.L.. FOR INSPECTION PRIOR TO COVER **********
********* :'4 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK. YOU ********************************•*
4P
JOB ADDRESS: • a-C/6 1p raj.., 1
SUBDIVISION: ,:=DCf 5414-- (Y0/6 LOT: BLOCK:
OWN '4\'6AMA 0.44 4 P E
ADDRESS: G� Jl
CONTRACTOR: PHONE: ( 04`cG�_�2j
ADDRESS:
LICENSE #:0---Duce-0-6 G 1 /F 1
INSPECTION DATE:
TYPE OF OCCUPANCY: