1990, 05-24 Permit App: 90002295 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
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.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= 90002295 DATE= 05.24:'90 PAGE= 01
APPI...ICAT:roN
*************•***************** APPLICATION *********** ***** •ar•**** tt****
SITE: STREET= 12506 E" 13TH TH AVE:: F'ARC;F.::l...4= 22543-1226
ADDRESS== SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION .... 8801
*** SEE NOTE ***
PLATt= 001345 PLAT NAME= JORC;ENS AI)I)
BLOCK= 2 LOT= .r /ONE.- AGSIJI:t DIST:M:::: F:
('}
p•AREA= 0001 600() _ 7F'/A:=: F WIDTH= DEPTH= R/14=•: S.) BLDGS= :: DWELLINGS=
= !
OWNER=:: JOHNSON PHONE=
STREET=ET== ; `'506 E. 13TH AVE
ADDRESS= SPOKANE.: WA 99216
CONTACT NAME= DONNA COURCHAINE PHONE: NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT:= NA LEFT= NA RIGHT= NA REAR- NA
********•******:****•***•******** SEWER PERMIT b:*******'b.• :Yk** :********•n:*b:••)t:*•A:•P:f{•
• CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 I::: vAI...I._E::lr'WA i
ADDRESS= VEPADAL_E WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE '!' 10.00
SEWER CONNECTION •i 40,.00
PERMIT TYPE FEE. AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 00 50,00
50.00 00 .,00 50.00
PROCESSED BY : JULIE. SHATTO
PRINTED BY : JULIE SHATTO
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
.I.ON
TO LOCATE 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
********* CAI...i... FOR INSPECTION PRIOR TO COVER ***•*•**•****
********* 24 HOUR NOTICE REQUIRED ** •****at• :*
**•k•**.y{.k** 456-3604 ****P:*****
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,...,:..,,.�. k x+ } �. . a x n THANK YOU ****•?t•***•**)i•*••7F*****a6*14*•n•**•*71.11•*#***