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1991, 01-24 Permit: 90005950 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 Occupahcy 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 stateor local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE PR0'JECT NUMBER= 90005950 **U*** PERMIT ;ENFOl MATION SITE STREET= 11903 E 4TH AVE ADDRESS= SPOKANE WA '99206 PERMIT USE= SEWER CONNECTION - 0801 3e** SEE NOTE 3e#3e PLATO= 001839 .PLAT NAME:": COP. TR. 1--354 BLOCK 579- LOT=:: ZONE= A(:;SUII DIST:.= F AREA= 0000000() F/A= F WIDTH= DEPTH= R/W=: OF BL..DGS= 1 "4k DWELLINGS= 1 OWNER= TIFFANY, JAMES PHONE== STREET:::: 11903 E 4TH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485 BUILDING SETBACKS: FRONT= NA LEFT:'- NA RIGHT== NA REAR= NA 3(•3etea *)(**********•3E****3e i()e**4 *t(• SEWER PERMIT 1F**jrMisY(lirf#t(.ii.ii.#ri..h..1i1i•iFi(*f(•k#jrf{•iEYiii34 DATE. 01/24/91 PAGE= 01 ISSUED PERMIT ******3e**3e***4 Y******,****3*** PARCI:-L4'= 21541-1014 CONTRACTOR= COURCHAINE CONSTRUCT:CON STREET== 16402 E VAI...1...1:"YWAY ADDRESS:s, VERADAL_E. WA 99037 PHONE= 509 924 5485 ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCE:SS'ItN'C; FEE Y 10.00 SEWER CONNECTION 1 40.00 3e#3(-**** e',* st•H•1E********** ***** PAYMENT SUMMARY****ft*.x..**fl********•*s****;t•tt•* PAYMENT DATE RECEIPT:» PAYMENT AMOUNT 01/24/91 335 50.'00 TOTAL.. DUE= .00 TOTAL... PAID= 50.00 PERMIT TYPE FEE AMOUNT AMOUNT PAIL) AMOUNT (:OWING.; SEWER PERMIT 50'400 50.00 .00 50,00 50.00 .00 PROCESSED BY: JOL.`EE SHATTO PRINTED BY: JULIE SHATTO SEWER STUB AE—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, FC'T, CALL BEFORE YOU DIG (456-8000) SEWER STUBS. ARE TO T:+E CHECKED PRIOR TO CONNECTION TO, INSURE THAT THEY "ARE CLEAR AND UNOBSTRUCTED TO THE SEWER, MAIN 3ex3(3e#3e3e#3e CALL FOR -I:NSPEGTI:ON PRIOR TO COVER 3(•343F3e3eje3i#3eX ********3E 24 HOUR NOTICE REQUIRED 3e3e3ea(•3e3e3<x3e )e3e3r****** 456-3604 ***no*** * ******** )eie34#3e********* ****)He* TI -TANK YOU ie#.H..*.*ie**** e***3e*3E:ie** *********** t.'a SPECIAL CONDITION CHECKLIST' Project Address. Project # Use: • ter.. ............ f3 Dept. of Bldgs. .. Engineer's Planning , , , 6,. i Utilities ,. ..f Other -• , Condition: Special Insp. Final Report Hydrant ( ) Lock pox .... .. ,. ..,... r !nit: ()n) RID/CRP Easements • • ' Road Plans/Improvements "•- : r. Bonds y Bonds 4, Double Plumbing ULID ' c 14 Appr: (out) • THISSPACE FOR 6OMMERCIAL PLANSTRAC(ING; CE4TIFICAT�(�FOCGUPANCYOtILY , Date received fbf C/O pr oGessinigt I � " { P(anprpf )leQf6r jmalprncessing•• ', Temporary CIO issued w 4' , ' * ct ; - "i tCeitiflcate''of Obcupandy issued: • .+c ' r ,,. ., K , Date Office file review by:. , , ,. , �. Filed insp finaled by: Date• 'd ^; •z :,1 rx ii . •( l .�. !� d', .-* 4 ); : sf t it A ., Ninely days after,C/O issuance: Owner/contractor called regarding the return of plans: Date Pians returned: Received by No response frontownei/contractor -,plans destroyed.