Loading...
1990, 07-23 Permit App: 90003470 Sewer SPOKANE COUNtY DEPARTMENT OF BUILDING AND SAFETY 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,oras a warranty of conformance with the provisions of any state or local laws regulating construction. . SIGNATURE OF APPLICATION OWNER OR AGENT DATE PROJECT NUMBER= 90003470 _ R F' .CCT 'i64/ PACE- 01 ****************************** APPLICATION .******4************************** SITE STREET= 11917 E 6TH AVE: PARCEJ... :== 21542--3002 ADDRESS== SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION •- 8801 *** SEE NOTE *** PLATt= 001 382 PLAT NAME= KIMBERLY SUB BLOCK= t...OT= ZONE= SFR DIST: == AFF::A= F/A- F:• WIDTH- 4}' • :M OOFBi_DGS= i ; DEPTH=Tt-i:- "?°i%) Ft/4J= 40DWFt.«t...INiYSY OWNER= VAN HOFF• HAROLD STREET= 7201 N MONROE ST PHONE= 509 466i i 89 ADDRESS= SPOKANE WA 99208 CONTACT NAME= DONNA COURCHAINE BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHTYFNA��E REAR=RNA509 92.$ 5485 *****************•************ SEWER PERMIT • **** ****ar*** •* *********• •ai tt• • CONTRACTOR=ORY COURCHAINE CONSTRUCTION PHONE= 509 924 5485 STREET= 1640:2 F:: VALLEYWAY ADDRESS= VERADALE WA 9903.7 ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCESSING FEE '10.00 SEWER CONNECTION Y 40.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50.00 n0 0 50.00 50.00 .00 50.00 PROCESSED BY : ..JULIE SHATTO PRINTED BY : JUt...1:E 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 CABI...ES, GAS PIPING, WATER LINES, ECT•., CALL BEFORE YOU DIG (450-8000) 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 ********************************* -/-4 JOB ADDRESS: ( ( 71 ( & `Q SUBDIVISION: ( 6 ( 6 - -366 3- LOT: BLOCK: OWNER: 1)/)_..t4 l -F-(2PHONE: ADDRESS: CONTRACTOR: dr Q PHONE: -40 ADDRESS: LICENSE #: INSPECTION DATE: TYPE OF OCCUPANCY: