1992, 06-29 Permit: 92004209 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NiMIEF= 9200.4209 ISSUED�tE IFER�1i DATE= 06/29/92 PAGE= 01
****3 **** **** :******** • • PERMIT INFORMA T ION ** **• * ** ** •********ai;;;i• •
SITE STREET= 207 N SUNDERLAND RD r'AR1F I..4== 45173. 1013
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION -- A87-••I (925—'586)
* SEE NOTE ***
F'L..AT4= 001835 PLAT NAIVE-: CIF'F';TF ., 1 --3' •
BLOCK= 137 LOT= ZONE= A1YSUB DI T: == E:
AREA= 00000000 F•:"A':-. F" WIDTH= DEPTH= ;t:/'4-
OF BL..DGS=: 4 DWELLINGS:::: I WATER DIST :-:
OWNER= DUXBURY PHONE=
STREET= 207 N SUNDERLAND RD
ADDRESS:::: SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= N/A LEFT== N/A RIGHT= N/A REAR= N/A
k ritt•h:N•*ii•*ii*ii •*ii*ii*•a**ter.•*iii* ** SEWER PERMIT '1i•a* ••;t•';!•k**ii••;{•A:9:7i***P:•..'H.....K.3i•.......
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 50 924 5485
STREET= 16402 F:: VALL..E:i WA'i
ADDRESS=:: VERADALE WA 9903
ITEI'i DESCRIPTION. QUANTITY FE::E:: AMOUNT
--------
PROCESSING FEE r' 10.00
SEWER CONNECTION 1 .4000
••;l***al..••.'.S•'b:•.•.*it.*•.•}t.•1t•.:• •$l**•*•b:';l••*•* PAYMENT SUMMARY ***•It•***•A•}t••M••h.•b:*•}t**'A:k*N:*.;t•*'*'..'R*'*
PAYMENT DATE RECEIPT:„: PAYMENT AMOUNT
06/29/92 4963 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 : DOMITROVICH , ROBIN
PRINTED BY : DOMITROV]:CFH ROBIN
SEWER STUB AS_..BUIL..T INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIELD L..00ATE. AND CONFIRM THE
ELEVATION AND POSITION OF SEWE:R 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
R*ai• *•n••x• sr CALL FOR INSPECTION PRIOR 'Ti.1 COVER * :• :**'r:•h•h
**** ** •* 24 HOUR NOTICE REQUIRED ***##****
.... 456-3604 tiO4 rib:din*****'h:
•*ir**** a**************** •***** THANK YOU ******•**** *. ******K*'*•;E•tt}iN***.*•t**