1991, 10-02 Permit: 91004023 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 reaand 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= 91004023 I%%UED PERMIT DATE= iO/O2/91 PAGE= 01
*********** * ** ******** * PERMIT INFGRMATION **************** ***********
%ITE %TREET= 2916 % RAYMOND CIR PARCEL4= 29544-0608
ADDRE%%= %POKANE WA 99206
PERMITAEE- SEWER CONNECTION - %OUTH KOKOMO
*** %EE NOTE ***
PLAT4= 000376 PLAT NAME= CHE%TER HILLS HEIGHT%
BLOCK= LOT= ZONE= AGRI DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= 50
4 OF BLDG%= 4 DWELLING%= WATER DIET =
OWNER= HARDER, HAN% PHONE=
%TREET= 2916 % RAYMOND CIR
ADDRE%%= %POKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDINF, FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= COURCHAINE CON%TRUCTION PHONE= 509 924 5485
%TREET= 16402 E VALLEYWAY
ADDRESS- VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 .00
%EWER CONNECTION i 40. 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
10/02/91 7156 50 .00
TOTAL DUE-DUE= .00 TOTAL PAID= 5O . ��
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 . 00
----••••••••••••••• ••• ------------ -------------
5O. 00 50 .00 . 00
PROCES%ED BY : JULIE %HATTG
PRINTED BY : IF %HATTO
%EWER %TUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456- 604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING ' WATER LINES, ECT ,
CALL BEFORE YOU DIG (45 -800O)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR ANn NOB%T UCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
** ****** 24 HOUR NOTICE REQUIRED ****** ***
********* 456-3604 **********
*** **************************** THANK YOU *********************************