1990, 08-06 Permit: 90003676 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
VV.13O3BROADWAY-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 tocompile said permit/application iotrue
and correct, and authorize Spokane County to proceedim processing. processing. In addition, 1 have read and ondorstand the INSPECTION REQUIREMENTS/NOTICE
provlsions inc!uded heroin and agree to comply/moxmo.m/pmvmomm/o*ouou^mmuncwo governing this type of work will be cornplied with whether specified
he,ejn or not. 1 understand that the Issuance of this perrnit/applicationuoouoys"mmlue"nn^vmcti"n"rpm,mso,00mnoumomocwnumy shall not be construed to
give authority to violateorcancel the provisions 01 any state or local Iaw regulating construction, oras a warrantyofcontormance with the provisions 01 anystate or Iocal
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER 0RAGENT DATE
PROJECT NUMBER= 90003676 DATE= 08/06/90 PAGE= 01
ISSUED PERMIT
**************************** PERMIT INFORMATION
****************************
SITE STREET= 12824 E 4TH AVE PARCELO= 22542~1813
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 00 1840 PLAT NAME= OPP^T -35
BLOCK= 186 LOT= ZONE= AG%UB DI%TO= F
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 300 R/W= 40
a OF BLDGS= 2 0 DWELLINGS= 1
OWNER= EVANS, ARTHUR L. PHONE= 509 924 9163
STREET= 12824 E 4TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16482 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
--------^-^^----------~~~ ------~^
PROCESSING FEE FEE Y 18^88
SEWER CONNECTION 1 40.00
*************************4‘***** PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/06/90 4520 58^88
____________
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 58^88 ^88
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,
CALL BEFORE YOU DIG (45-8888) / ECT.
SEWER STUBS RE TO BE CHECKED PRIOR TO CONNECTION T INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3684 **********
******************************** THANK YOU *********************************