1991, 12-19 Permit: 91008244 Sewer �~�
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
NL1303BRO#DV�AY AVENUE
' �POKANE.WASHINGTON BS2G0
(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= 9i008244 ISSUED PERMIT DATE= 12/19/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 604 % SUNDERLAND RD PARCELO= 20542-1209
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - UNIVERSITY HIGH 88-02 (91 -%82)
*** SEE NOTE ***
PLATO= 001368 PLAT NAME= KELLOGG PARK SUB
BLOCK= 2 LOT= i ZONE= AG%UB DIJT4= E !
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W= .
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET =
OWNER= FARNHAM, DEAN PHONE= .
STREET= 604 % SUNDERLAND RD i
ADDRE%%= SPOKANE WA 99206 I
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y iO.00
SEWER CONNECTION i 40.00
**if:******************* ******** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTZPAYMENT AMOUNT
12/19/9i 9569 50 .00
------------
TOTAL DUE= .00 TOTAL PAID= 5O.OO
PERMIT TYPEFEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER i-ERMIT PERMIT 5O.00 50.00 .00
------------- ------------ -------------
5O...OO 50.00 AO
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPART�ENT (456-36O4)
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 (456-8000)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOB%TRUC ED TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************