1989, 10-23 Permit App: 89004255 Sewer SPOKANE COUNTY DEF—AR^tviENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto comply with m^mom/provisions of laws
and ommuov0000w,mmom/o�nev womwmuovom oou~nx°o�oo,, vmouxom/no,not./u000�mnomut the mvuanvomm/o�rmxand any subsequent
inspection provals or Certificates of Occnan shall not be construed to give authority to violate or cancel the provisions of any state or locl 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
PROJECT NUMBER= 89004255 DATE= 10/23/89 PAGE= Oi
APPLICATION
********************************* APPLICATION ***************** ************
SITE STREET= i2806 E 16TH AVE PARCELO= 27541 -0335
ADDRESS= SPOKANE WA 99216
PERMIT U%E= %EWER CONNECTION — 8801
*** SEE NOTE ***
PLATO= 001842 PLAT NAME= OPPORTUNITY TERRACE i %T ADD
BLOCK= 8 LOT= iO ZONE= AG%UB DI%TO=
AREA= 00000080 F/A= F WIDTH= 90 DEPTH= 140 R/W=
0 OF BLDG%= DWELLINGS= i
OWNER= VANANTWERP, GARY PHONE= 509 928 2343
STREET= 12806 E 16 AVE
ADDRE%%= SPOKANE WA 99216
1 CONTACT NAME= DONNA COU RCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
. ***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
� ------------------------- -------- ----------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
^ --------------- ------------- ------------ ------------- |
SEWER PERMIT 50.00 .00 50.00
------------- ------------ -------------
50.00 .00 50.00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—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
TO LOCATE BURIED CABLE%, 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 COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
.. . .. .. :.if..* *************** THANK YOU *********************************
� !
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JOB ADDRESS: . �. CP Le`4
SUBDIVISION: D.2-7_ 5 4 ( D 3 6 LOT : BLOCK:
OWNER: ) i/I_ t.,vep PHONE:
ADDRESS:
CONTRACTOR: PHONE:
ADDRESS:
LICENSE # :
INSPECTION DATE:
TYPE OF OCCUPANCY: