1991, 10-02 Permit: 91004022 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 authorizen xu 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= 91004022 ISSUED PERMIT DATE= 10/02/91 PAGE= 01
* ************************* PERMIT INFORMATION **************** ***********
SITE STREET= 2912 % RAYMOND CIR PARCELO= 29544-0609
ADDRESS= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - SOUTH KOKOMG
*** SEE NOTE ***
PLATO= O00376 PLAT NAME= CHESTER HILLS HEIGHTS
BLOCK= LOT= ZONE= AGRI DI%T4=
AREA= 00O00000 F/A= F WIDTH= DEPTH= R/�=
OF BLDG%= 0 DWELLINGS- WATER DIET =
OWNER= DELEGAN%, J C PHONE=
STREET= 2912 % RAYMOND CIR
ADDRESS- SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER- 509 924 5485
BUILDIN� %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-------------------------- -------- ----------
PROCE%%ING FEE Y 10, 00
SEWER-CONNECTION i 40 .00
* ***** *********************** PAYMENT %UMMARY ****************** ********
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/02/91 7i53 50 .00
TOTAL DUE-DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50 . 00 50 . 00 . 00
------------- ------------ -------------
5O .00 50.00 .00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-36O4 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %T;B PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES , ECT .
CALL BEFORE YOU DIG ( 4 -8OOO)
SEWER STUBS ARE TO BE CHECK n PPTAR TA CON ECTIGN T; INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
********** *** **************** THANK YOU *********************************