1991, 01-24 Permit: 90006265 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
,f
.
PROJECT
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i•',N..}•_?E::.t.: ! ,•,�{„?t•!t:�l::.f",..... 90006265 t)fy r:.... !•;� .•.��; y•i PAGE= 01
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,::1. E t::. STREET,- f2!;/ ti. V E!•':t.L E::.R RD P f-i I•{'.t.,F L:;,::•• 22542-2168
ADDRESS= ,':•f:f.?KANE. WA 99.2. 6
j!'3!'7+: SEE NC:I ! i::. •i+:i+:!E
PLATO=1 O:::: :., r., ,.s E•t F:.j'};::- ''t. SUBURBAN .,1 i i i" f�' ADD ,.,
BLOCK= LOT= 5 `'ONE":::: AGEUB DISTO=
AREA= +::}+..,, f-:1,, i-1t.3f:j ,•A-• WIDTH= DEPTH= f I.:.1�.
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OWNER
EVEREIT PHONE=
.•,•T'hE::E:::i. 120
' V ;iEi >
ADDRESS= SPOKANE WA 99216
...
CONTACT Ji )E . DONNA
COURCHAINE PHONE
NUMBER=
{. . ^. 509
, • . ; 5485 4: .
BUILDING ..:.!;:. t 7:{f i f_KFRONT-, NA l....:'!" ! .. GN A E.... p A
*K***************************
...................:.............. .F.Iht t;:.!'4 f:!::.E•'•.I i... f }:•}.••;!••}k 1:I!•ik'!k•t:•1:9i•}!:'.;9:4+:t:9+:'1'•:•P:'P:4}:4k'P:•}k 3!:•P:•1}:'}f:;k:+t•
CONTRACTOR= t.:OE.!Ri.:;iA.f.N4::. CONSTRUCTION {"HONE:::: 509 924 5 485
STREET= I N402 F VAE...i...EYWA.(
ADDRESS= VERADALE WA 99037
ITEM i.}Et.•i_RI;::=`I ,' {_;'H QUANTITY
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SEWER
CONNECTION 40 . 00
.. ........ .. ........... .... ................. r• .... ! P P R
:. , :.: .: i+i•} i i .. i i . .... i .. i i ! i + e li i
t } P:'P;•}!:9}:•1+:'!k••+i Y�.� 7 f„J i"�i`".r•-;.:•� !••P:'}':•1:'Rr;k i4'N:'}r;''1: :•P:':•:•}:.I(...1:1:•}:•}:•1 i 1:::�P:3:
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PAYMENT DATE a !?i...'.. i::..!.!"' ! •e• PAYMENT ..0"{i.i{..?iv {
01 /24/91 330 :':i.:}..
.................................................
; { r DUE= .00 TOTAL I AL {»•f•; : i,}:::: 50,00
PERMIT! 1iP{::. FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 00
PROCESSED BY : jULIE SHATTO
PRINTED BY : JUL. { E: f. _......
SEWER 4 Ui AS—BUILT . J Ei ( ' fr11N IS AVAILABLE f. _!,. ..f..-i _
k..I_.i(,i P'E I j
III I E...1. ! .E.i::.:. DEPARTMENT (456-3604)
CONTRACTOR I II APPLICANT T• I ,`.; TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND I-+_I,::-.{. 1 .E.OfN: OF r:.WE"R STUB PRIOR TO ANY OTHER
EXCAVATION
TO
LOCATE kFEEECABLES, GAS PIPING , WATER _ EJ .t , ECT.
:ALEBEFORE Y01._' DIG ;456-800; ,
SEWER : U . ARE
r ; ; CHECKED TO CONNECTION TO Ej` 1"1
THAT THC
ARE CLEAR AND UNOBSTRUCTED TO fE-EE=. SEWER MAIN
;,:x..l!.j,...l+.*}!•)i•x• CALL FOR i°•. ;.t'=,.:-! E..:.:Ta.f:1N PRIOR TO 1 Cl.fi?E::E },;:•N••}:i:•}+:*is i:::•
33 )t*it..,,;.I;..y,. . 24 HOUR iNE f::l T-1:I::`•E::: E i E I i i?1:E?is } n,I'P::rr
Y
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456..._ 9:}+:i•<: 7k:+i 4}{•I!::1l:•}t•3}r'Pr'}!r 1
:L:li.:;.:+::i.]i*:i.:i.:i.*:li.:i.*3i.:i:i.:i.:!}**:+i-)i.:+i..i.:+i.:(.:,i.:+f.:f.:+f.:;. THANK you * ?'Jt••tt•1F'1E:+i•*;si'1`•*It:+?'j}..i,.:,;.j.lf.*j(•;ti-Ti.}:.:+,..p.*.n.:}t')4-:»:t+:)+:'*
r y
SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant( ) _._--
- Lock Box
Engineer's__ — RID/CRP
Easements •
_
Road Plans/Improvements
--- Bonds
Planning _ _ Bonds
Utilities — Double Plumbing
ULID •
Other_
•
•
•
"*********************"*******THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for C/O processing: Plans pulled for final processing:—_
Temporary C/O issued: .Certificate of Occupancy issued:
Office file review by: __ _ . Date:
Filed 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: __
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S P O K A. NT E & •• e g-k•• E O U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPAFTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: November 20, 1990
TO: Courchaine Construction
East 16402 Valleyway
Spokane, Washington 99216
04107
"
Please make checks payable and mail to: J I o , l ,
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY i `J
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application
DATE PROPERTY ADDRESS FEE
11/20/90 S 720 Verceler Rd - 90006265 $ 50. 00
S 721 Verceler Rd - 90006266 50. 00
E 12003 5th Ave - 90006264 50. 00
E 10812 20th Ave - 90006278 50. 00
Amount due and payable $ 200. 00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to November 30, 1990. Failure to
remit this amount on or before this date will result in a double fee
being assessed.
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703