1990, 09-10 Permit App: 90004477 Sewer 111101 •
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
VV. 13V3BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675 compile m permit/apPlication.»tm*
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 violateor 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
DATE= O9/iO/�� PA�F= Oi
P�OJECT NUMBER= 9OOO4477 APPLICATION
******************* ********* APPLICATION *********************************
SITE STREET= 203 N %KIPWORTH RD PARCEL4= 1543-0317
ADDRE%%= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - B87-i
*** SEE NOTE ***
PLA = OOi852 PLAT NAME= OPPORTUNITY(TR:1 -142INC. 143-35F
BLOCK= i6 LOT=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLD = i 4 DWELLINGS= i
=
OWNER= PETERS G PHONE
%TREET= 2O3 N %KIPWORTH RD
ADDRE%%= SPOKANE WA 99206
PHONE NUMBER= 5O9 924 5485
CONTACT NAME= DONNA COURCHAINEEFT NA RIGHT= NA REAR= NA
BUILDING SETBACKS : FRONT= NA LEFT= = n
***************************** SEWER PERMIT ******************************
CONTRA =
CO RCHAIN CON%TRUCTION PHONE= 509 924 54��
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
• QUANTI- ' F;'F AMOUNT
ITEM DE%CRIPTION_________ �.
--------------� `OOO
PROCESSING FEE Y 10 ,00
i
SEWER CONNECTION 40^06
PERMIT TYPEFEE ('.6'107 AMOUNT PAID AMOUNT OWING
-------------
SEWER PERMIT 50.00 , OO 5000
�__
-------------
50.00 ,00.00 50.00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TOFIELD LOCATE AND CONFIRM THE
O %
ELEVATION AND POSITION � SEWER STUB A``
PRIOR . " . `' . ..^R
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINE%, ECT.
ALL BEFORE YOU DIG (45 -8OOO)
%EWER TG TO INJCE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER *********
*
********* 24 OUR NOTICE REQUIRED ***** ***
********* 45 -36 **********
**************************
******/ ************************* THANK YOU *******