1990, 09-21 Permit: 90004482 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
SIGNATURE OF
OWNER OR AGENT
PROJECT NUMBER= 90004482
DATE= 09/21/90 PAGE= 01
ISSUED PERMIT
PERMIT INFORMATION
SITE STREET= 10515 F IOTH AVE PARCEL-*= 20544-ill2
ADDREES= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - 860
SEE NOTE
PLAT�= 002704 PLAT NAME= UNIVERSITY PLACE
LOT= ZONT = w F
BLOCK- AGSUB Dlgl'=
AREA= 00000000 F�A- F WIDTH= DEPTH= R/W=
0 OF BI.-DG9= i I DWEL.LINGS= I
OWNER- ANDERSON , BOB
STREET-- 10515 E 1'-)TH AVE
ADDRESS= SPOKANE WA 99206
PHONE=
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 54R9
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
SEWER PERMIT
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= il,402 E VALLEYWAY
ADDRESS-- VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-----------------
PROCESSING FEE Y
SEWER CONNECTION 1 40,00
PAYMENT SUMMARY
PAYMENT DATE RECEIPT'- PAYMENT AMOUNT
09/21/90 5720 50�00
-------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
---------------- ------------- ------------ -------------
SEWER PERMIT 50�00 50.00 �00
------------ ---------------
50.00 50�00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS -BUILT INFORMATION 19 AVAILAPILE AT THF. COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO F71ELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
FXCAVATION
TO LOCATE BURIED CABLES GAS PIPING, WATER LINES, ECT�
CALL BEFORE YOU DIG (454--13000)
.SEWER SIURS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE Cl EAR AND UNOBSTRUCTED To THE SEWER MAIN
CALL FOR INSPECTION PRIOR TO COVER
24 HOUR NOTICE REQUIRED
456-3604
THANK YOU
SPECIAL CONDITION CHECKLIST
Project
Address: _ Project a
Dept: Date: Condition:
DePt. of Bldgs. — -
Special Insp. final Repon__
Hydrant( ) _-
Lock Box
Engineer's
Utilities_
Other__
Init: APpr:
(in) I (out)
it I fn
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CER rIFICATE OF OCCUPANCY ONLY"'
Date received for 0/0 processing __— Plans pulled forfirelprocessing
Temporary C/O issuetl. _— --_... Certificate of Occupancy Issued_
Office file review by _.__ _._-- --_ Date.
Filed inspfinaledby __. Date_—_ _..__ _. ...
Ninety days after C/O Issuance'.
Owner/contractor called regarding the return of plans: __- ___ Date
Plans returned: - —.Received by:
No response from owner/contractor- plans destroyed: