1990, 09-21 Permit: 90004297 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. l understand that the issuance of this permit/e plication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of tidy state r local lawregulating 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= 900042 97 - DATE= 09/21/90 PAGE= 01
ISSUED PERMIT
********ie**********4******** PERMIT INFORMATION *k***************44*********
SI'T'E STREET= 12605 E: 4TF1 AVE.
ADDRESS= SPOKANE WA 99216
PARCEL; = 22542--0655
PERMIT USE= SEWER CONNECTION ••- 8801•
*** SEE NOTE ***
PL..ATs= 001840 PLAT NAME= ,OPP.TR. 1--354
BLOCK= LOT= ZONE= AGSUB DIST4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
0 OF BLDGS 1 4 DWELLINGS== i
OWNER= LANDS, WILLIAM - PHONE=
STREET= 12605 E 4TH.AVE
ADDRESS== SPOKANE WA 99216
CONTACT NAME=' DONNA COURCHAINE PHONE.: NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA NEAR= NA
******************.*********** SEWER PERMIT ******x•******************4****
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 990-37
ITEM DESCRIPTION
PROCESSING FEE
SEWER CONNECTION
PHONE= 5109 924 5485
QUANTITY FEE AMOUNT
- =
t 10.00
1 40.00
*******************#*********** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIITr PAYMENT AMOJNT
09/21/90 5731 . 1 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: J,ULIE:: 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 BUiIE_D CABLES GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456--8000)
SEWER STUBS ARE TC) BE'CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR- AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL.. FOR. INSPECTION PRIOR TO COVER **********
***U***** 24 HOUR NOTICE REQUIRED **********
******# .1* 456-3604 **********
******************************** THANK YOU.*********************************
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Ninety days after C/b 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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