1991, 10-01 Permit App: 91006329 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oomfymat/huvooxvmmeummnmm/uunvnvauon.ommmutmomformononvo"tumoomnunuouum/uouuvmoonnvagentmoomnuouaiupermit/application is true
and correct, and authorize Sx County to proceed with processing. In addition, I have o and understandm 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= 91006329 APPLICATION DATE= 10/01 /91 PAGE= Oi
****** THIS I% NOT A PERMIT ******
PENALTIE% WILL BE A%%E%%ED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 13203 E 12TH AVE PARCEL5= 22544—
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION — WOLFCRE%T
*** SEE NOTE ***
PLATO= 001670 PLAT NAME= MOORE ' PARK UB. TR. 154 , VERA
BLOCK= 2 LOT= iO ZONE= AGRI DI%TO=
AREA= OOOOOOOO F/A= F WIDTH= 90 DEPTH= 142 R/W= 45
4 OF BLDG%= DWELWATER DIET =
OWNER= MENKE, RICHARD M PHONE= 5O9 924 O855
STREET= i32O3 E 12TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 54G5
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
%TREET= i64O2 E VALLEYWAY
ADDRESS- VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%INia FEE Y 10 ,.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 .00 5O. (:)O
------------- ------------
50, 00 „00.00 50.00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT ( 456-36O4 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GASPIPINGWATER LINES, ECT
' ' ^
CALL BEFORE YOU DIG (45�-8OOO>
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 ***** ****
* ****************************** THANK YOU ************* *******************