1991, 12-04 Permit: 91006760 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= 91006760 ISSUED PERMIT DATE= 12/04/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 3005 S RAYMOND CTR PARCEL_4= 29544-0803
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLATO= 000376 PLAT NAME= CHESTER HILLS HEIGHTS
BLOCK= 3 LOT= 3 ZONE= AGRI DISTO= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W-= 50
4 OF BLDGS= 1 4 DWELLINGS= i WATER DIST =
OWNER= BAUGHN PHONE=
STREET= 3005 S RAYMOND CSR
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE:: NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALL..EYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE ~----__-- Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
12/04/91 9i8i 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (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 CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp. Final Report
Hydrant( )
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Road Plans/Improvements -* Ci *
Bonds
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THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCOr.f/iNbYt5hEft*******"***"******"********
... 7. 710 1, AL; , ;71 . ;•1 73 A11 ..;
Date received for C/O processing:
Temporary 1 ;4'1 09PPtilORIPTPf etccUPICY#gPqd: 1.11
Office file review by I 117;la;
Filed insp finaled by:A A. A A A A .A ., A .;.: 3
4:4 tti 4
Oi:rog4fAtYis,04w * -* I .4i3/:.i.., A A A 't43•?3... ........ A-A sA A 4 ".
Owner/contractor called regarding the return of plans: . Date:
Plans returned: .Received by:
No response from owner/contractor-plans destroyed: