1991, 10-07 Permit App: 91006559 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit/application, stale that the information contained In It and submitted by me .,my agamon ompile said permit
and correct, and authorize Spokane county to proceed with processing in addition ,^ I^ have read and understandthe INSPECTION REQUIbe edwdR
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
or local
PROJECT NUMBER= 91006559 AP'P'LICATION DAT'E..= 10/67/91 PAGE= 0i
****** THIS TS NOT A PERMIT ******
PENALTIES WILL BE: ASSESSED FOR COMMENCING WORK WITHOUT A F'E: EM I: I'
SITE STREET= 13413 E 101H AVE PARCEL...- 22''544--1054
ADDRESS= VERADAI_E WA 99037
PERMIT USE= SEWER CONNECTION -- WOL.. F'CREST
** SEE NOTE ***
PLAT ;:= 007404 PLAT NAME= SUMMER'S ADD TCI WOODWARD PARK
BLOCI(== 4 LOT= i3 ZONE:-= .SFR DISI0:= P
AREA= 00000000 F/A=: F WII)1 H'= Dl R/W=
OF Bl i 4 DWE:LJ.INGSvo 1 WATER DIST =
OWNER= ARIDA PHONE:=
STREET= 13413 F. 10TH AVE
ADDRESS= VERADAL.E WA 99037
CONTACT NAME= DONNA COURCHAINE: PHONE: NUMBER== 909 974 5405
BUILDING SETBACKS. FRONT- NA LEFT= NA RIGHT= NA REAR= NA
SEWER PERMIT ***************************+**
CONTRACTOR= C.OURCHATNE CONSTRUCTION PHONE== :i 924 548'
ETRF_ET`= 16401 E:: VAI_L.EYWAY
ADDRESS= 'VERADAI_E WA 99037
ITEM DESCRIPTION QUANTITY FEE : AMOUNT
._-......._-..___ ... ... ... ... .... ...
__.... _.
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 Al
PERMITTYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 .00 50.00
50.00 .00 50.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE: SHATTO
SEWER STUB AS' --BUILT" INFDRMATI:ON IS AVAILABLE: AT THE COUNTY
UTILIT:I.EE DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TU FIE.L.D LOCATE AND CONFIRM THE::
ELEVATION AND POSITION OF SEWER .STUB PRIOR TO ANY OTHER
EXCAVATION
TO I._OCAT'E_ BURIED CABLES, GAS' PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE. CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVE:: F'
********* 24 HOUR NOTICE_ REQUIRE..D =*********
********* 456-..3604 *********•
**************************** THANK YOU *********************************