1992, 02-13 Permit: 91008817 Sewercertify that l have
and correct. and
SIGNATURE OF
OWNER OR AGENT
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
application, state that the information contained In it and submitted by me or my agerato compile said permit/application la Iter
aunty to proceed with processing. In addition I have read and understand the INSPECTION REQUIREMENTS/NOTICE
amply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
orirot this permi/appheation and any subsequent Inspection approvals or Certificates Of Occupancy shall not be construed to
visions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
APPLICATION
_ DATE
PROJECT NUMBER= 91000017 ISSUED PERMIT DATE= 02/13/92 PAGE= Oi
•***+�**K*«if1F PERMIT INFORMATION a�aEac•*atitxxxait iFa+EiF
SITE STREET= 13022 E. 10TH AVE PARCEL'= 22543-0501
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - 0001 OP'P'ORTUNITY TERRACE --918--1i
SEE NOTE ***
PLAT'= 002962 FLAT NAME= WOODWARD PARK ADD
BLOCK= 5 LOT= 1 ZONE= AGSUB DIST'= F'
AREA= 00000000 F' /A= F WIDTH= DEPTH= R/W=
' OF BL.DGS= 1 4 DWELLINGS= i WATER DIST =
OWNER= SCROGGIN, J A PHONE.=
STREET= 13022 E 10TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE: NUMBER= 509 924 540`1
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
oaf*afar +aF aE aF ■ of r iEx aE*< SEWER PERMIT �����iErt*��at•�xat«������x�;t�*c��
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5405
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
_________________________ --------- --
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
afafa<afafafafafafafifafafaf of of of of of afaf of of of**+ PAYMENT" SUMMARY afafafafafkafafafafkafafaf of afaf *af ♦r of of of afaf;f af;f
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
02/13/92 930 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: 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:
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
ESXCAVATION
TO I...00AT'E BURIED CABLES, GAS PIPING, WATER LINES, ECT:.
CALL BEFORE YOU DIC, (456-8000)
S'E'WER STUDS ARE TO BE CHECKED PRIOR 7'0 CONNECTION To INSURE.
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE .SEWER MAIN
iE+afR%#af Raf CALL FOR INSPECTION PRIOR TO COVFFi
of of of iF aF at k if if 24 HOURNOTICEREQUIRED ����■�<���
Kaf Y%YK«i< 456-3604 of #iF of of aF of laiai
k ARatafafkafafaf*�: ai afRCRaiif kaf of if*#af ar of of* THANK YOU ifaf if aafafRafaf if RiiRlRaf of riF of of of afklaf of if if of if ie of