1992, 05-15 Permit: 92001875 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that l haveexamined this permit/application, state thatthalniormation contained in It and and read land btted y Ler me or my age ttocECTICN saidp r EMpNTS/NOTICe
lication is true
and correct. and authorize Spokane County to proceed with processing. In addition,
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
give authorriity to violate or cthat ancel the the pmvsi ns of anystateorrllication and local law regulating constructioent n ores aection s warranty of cantermence wrovals or Certificates of ith the provisions of any stateconstrued
or caul
laws regulating construction.
APPLICATION
SIGNATURE OF APPE
OWNER OR AGENT
PROJECT NUMBER= 92001875
*******iE*****iE3EiE"X" ******ii***
ISSUED PERMIT DE:= 05/15/92 PAGE== Oi
PERMIT INFORMATION *****n**ie*******#iiia******X**
SITE STREET= 13420 E E3TH AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION -- SOUTH BLAKE (92S-251)
*** SEE NOTE ***
PARCEL%= 22544-0703
PLATO= 002404 PLAT NAME==
BLOCK= 1 LOT=
AREA= F/A==
0 (7F BLDGS= 2 0 DWELLINGS=
OWNER= KOZELISI(I, JEROME L
STR::ET= 13420 E. 8TH AVE
ADDRESS== SPOKANE WA 99716
SOMMER'S ADT) -TO WOODWARD)
3 'LONE= AGRI DJ.ST . ==
F WIDTH== 100 DEPTH=
1 WATER DIST = VERA
PHONE= 509 926
CONTACT NAME= COURCHAINE EXCAVATION
BUILDING SETBACKS: FRONT= N/A LEFT= N/A
KII.KR*1E*K*ifii*MXu'.u'.X.u'iEiE.x.x'iE.u'.***Kn SEWER PERMIT
CONTRACTOR== COURCHAINE CONSTRUCTION
STREET= 16402 E VALLEYWAY
ADDRESS= VFRADAI_E WA 99037
ITEM DESCRIPTION QUANTITY
PROCESSING FEE
SEWER CONNE.CTION
*********m****w'.x.u.y'ii.************ PAYMENT S'U
PAYMENT DATE RECEIPT'
05/15/92 3632
TOTAL.. DUE= .00 TOTAL PAID=
PERMIT TYPE FEE AMOUNT AMOUNT PAID
SEWER PERMIT
50.00 50.00
F'ARI(
140 R
2339
PHONE NUMBER= 509 924 5405
HT= N/A REAR= N/A
*****'*****************311******
PHONE== 509 924 5485
FEE AMOUNT
10.00
40.00
Y ********it**K******4******Kid*
PAYMENT AMOUNT
50.00
50.00
AMOUNT OWING
.00
50.00 50.00 .00
PROCESSED BY: DOMITROVICH, 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
IiEL.ECVATION AND POSITION OF SEWER STUB 1 RIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.:
CALL.. BEFORE YOU DIG (456-8000)
,SEWER STUBS ARE TO B_ CHECKED PRIOR 10 CONNECTION TO INSURE
THAT THEY ARE CLEAR IND UNOBSTRUCTED TO THE SEWER MAIN
******nE*** CALL FOR INSPECTION PRIOR _ TO COVER **********
********* 24 HOUR NOTICE REQUIRED ie*********
*TETE*'***** 456'-'3604
*ii*********************ii******** THANK YOU *.$3EiEieii*iE iE