1992, 06-29 Permit: 92003124 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,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= 920031 2.4 ISSUED PERMIT DATE= 06/29/92 PAGE= Oi
ai•ai*****•******• •n* •ai•*** •** x* PERMIT INFORMATION ****frau• •** * • ********* ***
SITE STREET-:: 13304 E 4TH AVE PARCEL.O= 452.21 .:9051
ADDRESS= SPOKANE WA 9921 6
PERMIT USE SEWER CONNECTION -•• SOUTH BLAKE (92E-429)
*** SEE NOTE ***
PLATO= 999999 PLAT NAME:= RANGE
BLOCK= LOT= ZONE= AGRI DISTO== F
A1E.A- 00000000 F /A= F WIDTH= DEPTH= i F:°;' s=:
0 OF BLDGS= 1 0 DWELLINGS= i WATER DIST =
OWNER= ROBERTS, ANNE: PHONE=
STREET= 13304 E 4TH AVE.
ADDRESS= SPOKANE WA 9921 6
CONTACT NAME= COIURCHAINE. EXCAVATION PHONE NUMBER= 509 ill (. 5485
BUILDING SETBACKS : FRONT=: N/A LEFT= N/A RIGHT= N/A REAR= N/A
•*•uaiacai•* *ai•r: •*ai*ai*•x •A•x**h* • • SEWER PERMIT *ld•**kk:lI*alatit*..'h:**P:****h:'Is:•'***.XA:X:ll•
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 54:05
STREET= 16402 E t;ALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE `Y` 10.00
SEWER CONNECTION i 40.00
#it•a1•al•a ai u ak•A:3t•3l••k:'H•*al•aF*R•ii ik•h ai N:##k R*a aF 3l PAYMENT SL IMi''iARtiY ********************K*******
PAYMENT DATE. RECEIPT O PAYMENT AMOUNT
06/29/92 4963 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 : DOMITROVIC:H, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
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 1•p CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
**x •*aix*i,: CAL..L.. FOR INSPECTION PRIOR TO COVER *:Raia:*ai•*)'.)'
ai•a>ri****** 24 HOUR NOTICE REQUIRED akatR Jta+•ataf,•1t•at•a•`.
ai•j{....u.*.k.k..p.3 456-••3604 • •al#ak*# .:.
rriiaaki *at9ahlJ #i : 1ia ### r$i # ## THANK YOU a **aaPN**a *A*a ******&a **a .J .***Ka