1991, 12-04 Permit: 91006559 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
I cedifythat l have examined this permiVapplicetion, state that the information contained in it and submitted by me or my agent to compile said permit/application lstrue
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. l 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= 91006559 ISSUED PERMIT DATE= 12/1 PAGE= Oi
■*ae*r■*w******iE■ifrs PERMIT INFORMATION
SITE STREET= 13413 E 10TH AVE PARCEL.._'= 22544--1054
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION -- WOL.FCREST
SEE NOTE ***
PLATO= 002404 PLAT NAME= SOMMER'S ADD TO WOODWARD PARK
BLOCK= 4 LOT= 13 ZONE= SFR DIST:= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
OF BLDGE== 1 4 DWELLINGS= 1 WATER DIST =
OWNER= ARIDA PHONE=
STREET= 13413 E 10TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR= NA
i<rrar*K KiE leiF iFik if aF ak �t>Fxrr■afraE* SEWER PERMITrt<ww*iF iE+FitaEa�?t;F**r<
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
SEWER CONNECTION
Y 10,00
1 40.00
*iE+ttk***rriF*iF*r<*w*itrr PAYMENT SUMMARY**a�raaa a>Exit iFk
PAYMENT DATE RECEIPT PAYMENT AMOUNT
12/04/91 9181 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 EHATTO
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 BURIED CABLES, GAS PIPING, WATER LINES, ECT,
CALL. BEFORE YOU DIG (456--8000)
SEWER EILIBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
• iF iE;rx a CALL FOR INSPECTION PRIOR TO COV'F..R tt of x�+a rtiErt�iE
*K** 24 HOUR NOTICE REQUIRED r at ;<aE aF
�x*• 456--3604;Errr
<.*iFif#iF aF of kif 3fifkl;<w THANK YOIJ?<x;E;tiruww**aE�t**6*atrtifx
Project
Address:
Dept
Engineers
SPECIAL CONDITION CHECKLIST
Data Condition:
Special Insp. Final
Hydrant ( )
Lack Box
RID/CRP _
Easements
_ — - Road Plans/Improvements
Bonds—____��
Bonds___.__
N@_
on
(in)
APPr:
(out)
so
Omer JJ C':'
;::I -•—
t ( fd'
'0' I Y.t I,ipt„ i t4 5 i I
^"'^ . 'THISSPACE FORCON161 IAL PLANS TRACK1140,CATIFI.CATE OF OCCUPANCY ON LY
Date received for C/O processing: __ - . Plans pulled for fim,lyd ovegaenT1 J;Temporary C/O Issued__ .. __-. ___.Car to ordrat traincr!U1,1di F',r i-
Ofiico file reva. by _.y am , ,. ".- —( 1 -. 4alg F-r4h'.rr+ _1 s -Lr .1-4., 71
Fled Insp tingled by: - D4M' -r,_IIY 1 x i : J: Til
Ninety days after C/Ootbanhk `rl �i-� S, a i t
r
Owner/contractor called regarding the return of plans'. _q_ — Data
1 I
Plans refumod ' i ' W Rei -0� - _-
Noresponsefromownercontractor- plans destroyed:
I