1989, 12-04 Permit App: 89005028 Sewer . � ^
^
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
• W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
/:ortify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have reaand understand the INSPECTION REQUIREMENTS/NOTICE provisions included hereiand agree to complyith same.All provisionsof/awm
and ordinances governing this tyof work willuonnm lied with whethers ified herein or not.I understand that the issuance of this permit and any s
inspection approvals or Certificates of Occupanshall 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= 89005028 DATE= 12/04/89 PAGE= Oi
APPLICATION
****************************� * APPLICATION ******************************
SITE STREET- 13119 E %EMRO AVE PARCEL4= 27542-2141
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8001
*** SEE NOTE ***
PLAT0= 001844 PLAT NAME= OPPORTUNITY TERRACE 3RD ADD
BLOCK= 7 LOT= 9 ZONE= AG%UB DI%T�=
AREA= 00000008 F/A= F WIDTH= 90 DEPTH= 140 R/W=
0 OF BLDG%= 0 DWELLING%=
OWNER= %HARPE, ART PHONE-
STREET- 13119 E JEMRO AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 589 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %FWER PERMIT ***** ***************** ******
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 5O9 9 :
%TREET= i64O2 F VALLEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10,00
SEWER CONNECTION i 40. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
-- • -
PERMIT 50 .00 .00 50.00
------------- ------------
- •
50 , 00 .00 50.00
PROCESSED BY : JULIE %HATTG
PRINTED BY : JULIE %HATTO
%TUB A%-BUILT INFORMATION J% AYATLAR| E AT THF 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
���/�AVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINF%, FCT .
CALL BEFORE YOU DIG ( 456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE gEWER MAIN
********* CALL FOR INgPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED ******** *
********* 456-3604
* *********** ************ ***** THANK YGU *******� *******
JOB ADDRESS:
/ 3 / (c7 �
SUBDIVISION: / LOT : BLOCK:
OWNER: A g--4- PHONE:
ADDRESS:
CONTRACTOR: l._ � PHONE:
ADDRESS:
LICENSE #:
INSPECTION DATE: tAj-
TYPE OF OCCUPANCY: