1990, 07-11 Permit: 90003103 Sewer SPOKANE OUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY-AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/applicati n,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,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= 9000::. 103 DATE= 07/11 /90 PA(7.,F= &A
I%%UED PF�MIT
********************� ******* PERMIT TNFORMATION *)****e**********************
%ITE %TREET= i29O� E iiTH AVE PARCEL4= 2254 -0505
ADDRE%%= %POK/ NE WA 99206
PERMIT USE= %EWEF. CONNECTION - 8801
*** %EE 'NOT E *�*
PLAT4I:= 0029C2 PLAT NAME= WOODWARD PARK ADD
BLOCK- 5 LGT= 5 ZONE= SFR
AREA= OOOO(OOO F/A= F P/W= 50
4 OF BLDG%= 4 DWELLINGS-
, , OWNER=
WELLING%=
OWN R= FRANk , JAN PHONE=
%TREET= i29O7. E iiTH AVE
ADDRESS= %POK/ NE WA 99206
- —7HAINE
BUILDING %ETBACKNA LEFT= .NA �I�HT= :�^ - - •
********************�******** %EWER PERMIT ***********************"`^ ` - -
• CONTRACTOR= COURCHATNE CONSTRUCTION PHONE= 509 924 5485
STREET= 1640' E VALLEYWAY
!=RE%%= VERAcALE WA 99O37
• ITEM DE%CR] PTION QUANTITY FEE AMOUNT
----------' -------------- -------- ----------
PROCE%%INL. FEE Y iO.00
SEWER CONNECTION i 40.00
*******************� ********** PAYMENT %UMMARY ****************************
RECEIPT4 PAYMENT AMOUNT
50.00
------------ |
TOTAL DiE OO TOTAL PAID 8O
= ^ = 5O^
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ---- -- ---- -------------
%EWER PERMIT 50.00 50.00 .00
-------_----- ------------ -------------
50. 00 50.00 .00
PROCEED BY : JULIE ! HATTO
PRINTED BY : JULIE ! HATTO
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
• UTILITIE% lEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION / ND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE } URIED CABLES, �A% PIPINGWATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG (456-8000)
SEWER STUB:. ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY RE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* [ ALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
*********************************
• r
iE ,
S P C) K A N E 4.i4 ryr, , ,iu = C CDUNTY
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON. DIRECTOR DENNIS M. SCOTT, DIRECTOR
INVOICE
DATED: July 3, 1990
TO: Courchaine Construction
East 16402 Valleyway Avenue
Veradale, Washington 99037
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application #90-3104 #90-3103 #90-3102
DATE PROPERTY ADDRESS FEE
07/03/90 South 821 Collins $ 50.00
East 12903 11th Avenue $ 50.00
South 517 Vercler Road $ 50.00
Amount due and payable $150.00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to July 13, 1990. Failure to remit
this amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention.
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703