1989, 12-08 Permit App: 89005132 Sewer ° ' - - ,�
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
certify permit that/ounoo�a�onmmmmcontainedsaid
compileno,mum
is� addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree tovvm comply uo same.All provisions of laws
and ordinances governing this t /work will»evvm lied with whether specifiedoommo,not./unuommnummmo/vvuonvomm/ono,mnonuunv,uo,equon,
inspection approvals or Certificates of Occupancshall 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 nATs
Je� / � . /
�`�/ /y- /
, �
�
'�
��-
PROJECT NUMBER= 89005132 N....) DATF ^/O8/89 PA(;F= 0i
APPLICATION
****,. :: . x,.***** t********** APPLlCAT ION ******************************
SITE STREET= 12817 ::: 12TH AVE PARCEL4= 22543-0724
ADDRESS= JPOKAN': WA 99216
PERMIT USE= SEWER '�ONNECTION - 8801
*** SEE NOTE ***
- |
`
PLAT4= 002962 PLAT NAME= WOODWARD PARK ADD
BLOCK= 7 LOT= 8 ZONE= AG%UB 0I%TO= F
AREA= � ' � ':�::";O F/A= F WIDTH= 150 DEPTH= 150 R/W=
4 OF BLDG%= H11: DWELLINGS= i
1
1
OWNER= WINTERS, LEONA PHONE= 509 926 0618
STREET= 12817 E 12TH AVE
ADDRESS= SPOKANE WA 99216 `/
���- /� |
^ - -_ /
CONTACT NAME= DONNA OURCHAINE PHONE NUMBER=
BUILDING SETBACKS : FRO T= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCH]INE CONSTRUCTION PHONE= 509 924 5485
%TREET= 16402 � VALLEYWAY
ADDRESS= VERADA-E WA 99037
ITEM DE%CRIP [ION QUANTITY FEE AMOUNT
------------L------------ -------- ----------
PROCESSING F.::.E Y iO .00
SEWER CONNEC ION 1 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--- - --------- -r----------- ------------ -------------
%EWER PERMIT . ~. 50.00
. ------------- ------------ -------------
50.00 .00 50 .00
'
� PROCESSED BY : JULIE %WiTTO
PRINTED BY : JULIE %WITTO
.
. SEWER STUB A -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
i
UTILITIES DEPARTMENT (456-3604)
|
CONTRACTOR O.4:, APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION ANO POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO OCATE BU
LkJ ED CAB LES, GAS PIPINc, WATER iINE%, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO JNJ!'RE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CA(L FOR IN%PECTION PRIOR TC -.7 .'�7 '
********* 24 HOUR NOTICE REQUIRED - ' '.
� ********* 456-3604 **********
�
, ******************************** THANK YOU *********************************
�
'
JOB ADDRESS: I Sg ' 1c ) E--, / C0-?-4
SUBDIVISION: = "( 3 - 6 -7,a1-/ LOT : BLOCK:
OWNER: .JC_.-Fi' ( b. J C.-_1/l. P i(,.z, PHONE: 9,22)
( /-
ADDRESS:
CONTRACTOR: 0PHONE: C) ( ._( 0 J
ADDRESS: C2..? () ____ Va./(- __4"^9�Go
Q,[
1 f 1 I
LICENSE #: - ( U' / V
INSPECTION DATE: ) a 4664_,
TYPE OF OCCUPANCY:
'y
ei ° I{� iE ! ' 4i
SPOK A N E ;...t S cvrG �,�rra� .
t C O U N T Y
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
December 8, 1989
COURCHAINE CONSTRUCTION
East 16402 Valleyway
Veradale, Washington 99037
To whom it may concern:
Pursuant to your request for a sewer permit at East 12817 12th
Avenue we are issuing an authorization to proceed with construction.
Please be advised that the fee for the permit is $50. 00 and payment
must be received no later than December 18, 1989.
Failure to remit this amount on or before the specified date will
result in a double fee being assessed.
Thank you for your prompt attention.
Sincerely,
Julie A. Shatto \'()
Permit Technician \d
JAS:rmd
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509)456-4703