1991, 12-04 Permit: 91006898 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
^SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that l have examinedtbispermlHapplicatlon.state that the information contained in stand submitted by me or my agent tocompilesaid permwappncanon 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 otnot. 1 understand that the issuanceofthispermit/application end any subsequent inspection approvals or Certificatesof Occupancy shall not be construed to
giveauthority to violate orcanceithe provisions of any state or local lawregulating constru9tloil?oras dwafranty of conformance with the provisions of any state or local
laws regfating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91006898 ISSUED PERMIT DATE= 12/04/91 PAGE= 01
**************************3F* PERMIT INFORMATION
****************************
SITE STREET= 13519 E BTH'AVE PARCELS= 22541-1334
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — WOLFCREST
*** SEE NOTE ***
PLATS= 001669 PLAT NAME= MOORE'S SURBURBAN HOMES ADD
BLOCK= _4 LOT= 11 ZONE= AGSuB DIST:= F
AREA= 00000000F/A= F WIDTH= DEPTH= R/W= 50
S OF BLDGS= 1 G DWELLINGS= 1 WATER DIST =
OWNER= CONE PHONE=
STREET= 13519 E 6TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR="NA
************ie* *****4********* SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 16402. E VALLEYWAY
f ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY ,FEE 'AMOUNT
PHONE= 509 924 5485
PROCESSING FEE
SEWER CONNECTION
Y
1
10.00
40.00
******************************* FAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTS PAYMENT AMOUNT
12/04/91 9181 50.00
TOTAL'DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID, AMOUNT OWING
nz
SEWER PERMIT 50.00 50.00 .00
50,00
50.00 .00
PROCESSED BY: JULIE SHATTO
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 BURIEB CABLES GAS PIPING, WATER LINES? ECT.
CALL BEFORE YOW DIG (45,-8000)
SEWER STUBS ARE"TO BE CHECKED PRIOR TO CONNECTION TO INSURE
*HAT *THEY.
ARE LC
LFEOAR
INSPECTIONTPRIORD TO0 COVERS*****+Ma**u*
********* 24 HOUR NOTICE'REQUIRED **********
********* 456-3604 **********,
******************************** THANK YOU**********)(***#s******************
Project
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Dept:
SPECIAL CONDITION CHECKLIST
Dept. of Bldgs.
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Plans returnedReceived by:
No response from owner/contractor - plans destroyed: