1990, 07-30 Permit: 90003470 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
VV. 1303BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/vom�mv�/»uvoexammoum/nnmmmuvnnouuon utomatmomm,muuonoonmmoumuand submitted ovmoonnv�entmvomnoeuumn permit/application is and correct,1 and authorize Spokane c �m �mcedwnhvmuonomo In additionI have reaand 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= 9O00347O DATE= 07/30/9O PAGE= Cui
` ISSUED PERMIT
**************************** PERMIT INFORMATION ****************************
SITE STREET= i1917 E 6TH AVE PARCEL4= 21542-30O2
ADDRESS= %POAKNE WA 99206
PERMIT USE= SEWER CONNECTION — 8801
*Yr* SEE NOTE ***
PLATT,— 00i382 PLAT NAME= KIMBERLY SUB
BLOCK= LOT= ZONE= SFR DI%T4= F
AREA= F = F WIDTH= 206 DEPTH= 250 R/W= 40
4 OF BDG%= i 4 DWELLINGS= i
OWNER= VAN HOFF HAROLD PHONE= 509 466 ii89
STREET= 7201 N M6NROE %T
ADDRESS= SPOKANE WA 99208
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET- 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- —
PROCESSING FEE Y 10 .00
SEWER CONNECTION 1 40 .()0
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
07/30/90 4330 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ---- --------
%EWER PERMIT 50.00 5O,OO .O0
50.00 50.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PGJI'/'IG�� OF %EWER :.:;Ti.. . PRIGR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING, WATER LINES, ECT .
CAL] BEFORE YOU DIG ( 45�-8OOO)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INJURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
' *�=**�^
********* 24 HUU� ��. ^=� ,.^�u^ ^^ ^°^
********* 456-3604 **********
******************************** THANK YOU *********************************