1991, 12-19 Permit: 91008156 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 t 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= 91008156 ISSUED PERMIT DATE= 12/19/9i PAGE= Oi
*********** **************** pERMIT INFORMATION *********** ******** *******
SITE STREET= 9714 E 6TH AVE PARCELO= 20542-1209
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - UNIVERSITY HIGH 88-02 (91 -%83)
*** SEE NOTE ***
PLATO= 001368 PLAT NAME= KELLOGG PARK SUB
BLOCK= LOT= i ZONE= UR-3.5 DI%TO=
AREA= F/A= F WIDTH= DEPTH= R/W=
,11: OF BLDG DWELLING%= i WATER DIST =
OWNER= FARNHAM, DEAN PHONE=
STREET= 9714 E 6TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 927 5485
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= i6402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y i00
%EWER CONNECTION i 40.00
******************************* PAyMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
12/19/91 9569 50 .00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
) PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
' --------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------ -------------
50.00 50 .00 .00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER. STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-36O4)
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 TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
*** ***** 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
° ******************************** THANK YOU *****************