1991, 06-18 Permit: 91003026 SewerSPOKANE 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= 91003026 ISSUED PERMIT DATE-: 06/18/91 PAGE= 01
***3 ************************ PERMIT INFORMATION ****************************
SITE STREET= 3 322 S UNIVERSITY RD PARCEL.O= 32541 -•0604
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION
*** SEE NOTE ***
PLATO= 000382 PLAT NAME= CHESTER HILLS ADD.
BLOCK= 6 LOT= 4 ZONE= SFR DIST:::: F
AREA= 00000000 F/A= F WIDTH= DEPTH= E't/W=
:a: OF BLDGS= i w DWELLINGS= 1 WATER DIST
OWNER= JACOB S EN PHONE=::
STREET= 3322 S UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR NA
:•x *:x•*ar.** *****•x******** ** SEWER PERMIT a► *ai*•x*******x*x •*****:a•x******
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 16402 E. VALL..EYWAY
ADDRESS= VERADAL..E WA 99037
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 509 924 5485
QUANTITY FEE AMOUNT
Y
1
10.00
40.00
**********,********** *••tt :**** • PAYMENT SUMMARY *•*•********3•******* **********
PAYMENT DATE
RECEIPT PAYMENT AMOUNT
06/18/91 3896 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 : JULIE SHATTO
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
xx******* CALL FOR INSPECTION PRIOR TO COVER *•*9i•iii@ii)t#k•
********* 24 HOUR NOTICE REQUIRED **#*a{****h
*arae*** :* • 456-3604 **********
******************************** THANK YOU ********* ******* • ** •********k**
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept, of Bldgs.
Engineers
Planning
Date:
.„-
Condition:
Project #
Use'
Special Insp. Final Report
Hydrant ( )
Lock Box
T "I ;•-;'•:.;:I1:1I';:t (("11II 7 T
!nit:
(in)
Appr:
(out)
;:;;•.; •,!•.; ;,11 I.': ; ,L ;";.;tt-,,e; 14.• *s.;f. ::;(; .r.i(;•••1;.;
RID/CRP
Easements
Road Plans/Improvements
;;.; '4. •
. _
;I 7.1'2 - •::. I
11..-1f11'
(1'171 •••f•-1 ••• •1•1'11;',,/
,•";;„ (",••;-: •1-.1•"'
Bonds,
,
-1(• ."1,1 '•J;: ov: ;:f;; ••a., ••• "A; :I,: •••k ••Jv ••!,"
Utilities
'T• 1 '1•••
Other
7rM".:1',1114q .
•'•"' •••• "•.•,•,".11."
"l•
Double Plumbing
ULID
1•11:11:11,1* -1',...1.1
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•
i.
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THliSPACE FOR boOkAERdiALi)C/4-TA/Ak.1.0. Oli-OpATE,(55.
Date received for CIO pitticessingH . j.:(1.0,..04nqfp141.1ed..lor,100•prqpp.41ingf „
11.
Temporary C/O issued: . • •
Office file review by: ;,•-•"if• Date: (••!•;,..;2 ;;;;;,,,7'
insp finaled by: , Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by'
No response from owner/contractor - plans destroyed'