1992, 03-02 Permit: 92001074 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 correctand authorize Spokane Conty to proceed with processing. In umo I have read and understand * 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= 92001074 I%%UED PERMIT DATE= 03/02/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 123ii E 18TH AVE PARCELO= 27542-1141
ADDRE%%=' %POKANE WA 99206
PERMIT USE= SEWER CONNECTION - HILLCREST (92%-134 )
*** SEE NOTE ***
PLATO= 001220 PLAT NAME= HILLCRE%T PARK ADD
BLOCK= 5 LOT= 7 ZONE= UR-3. 5 DI%T�= F
AREA= F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= 0 DWELLING%= i WATER DIET =
OWNER= GOETTER, WILLIAM , PHONE= 509 928 6557
%TREET= i23ii E i8TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10.00
SEWER CONNECTION i 40. 00
******************************* PAYMENT %UMMARy ************************ ***
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
O3/02/92 1369 50. 00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PE PERMIT 50 .00 50.00 .00
------------- ------------
50, 00 50,00 5O.00 .00
PROCE%%ED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% GA% PIPINGWATER LINES, ECT
CALL BEFORE YOU DIG ( 451-8000) ' ' ^
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE JEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************