1991, 10-02 Permit: 91004947 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 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
PROjEOT NUMBER= 91004947PERMIT DATE-
_ ... '
....................SITE STREET= 10004..
'
I9TH AVE PARCELO- 20542-4407.5
ADDRESS:- SPOKANE WA 99206
PERMIT USE=
PLATO= 00275975 PLAT NAME= SKY
+.
v
BLOCK- LOT= e:
OWNER= WARGA PHONE=
STREET- 10804 E 19TH AVE
ADDRESS- SPOKANE WA 99206
CONTACT i•JAr - DONNA .1 i i i l': •'E{.:E t':J E' PHONE NUMBER= 5c)9 924 5407
BUILDING SETBACKS : FRONT- NA LEFT- NA RIGHT- NA REAR,, NA
,.v. ..: .: ., .. .. .ar : : ? aP ,: * . SEWER :ij.:: :!i.:!j.:!j.:: :ti.:,'.:!!:.;t::!j.:v :a}.:: :!!.:!t::, :tt•;i:..i!::tt.':'... .... ..
L.'{::.�l C'I... .... .... .. ..'')i'it. .. .. .. ,. .. .. r. .. .. .. .. r
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE- 509 924 540".
STREET= 16402 E VALLEYWAY
ADDRESS- VERADALE WA 9907.57
..
ITEM E J E.. , '' { i r.' E I O E:J QUANTITY
PROCESSING FEE 10 , 00
SEWER CONNECTION 40 ,00
.. .. .. ..:. .... .. ........ ........ ...........:. ::j.:
..:..v,..n..n.....:..:r.. ..a..a.................v,..,..,.....,..a..:.., ' ::i.i ij.:!j.::j.::a :tl:.:t::n '.:};::: .ij. i:::
:�. :-.:-.,-. :t.:C:•. P.1•. Jv r, t., !t. :t. :t :-.:t.:!. :t.:i a.:!.?.:S?l 'A::!: ��'t i t"i..:.i•J s -.. ...i"l 'I t:-{��., -, r. ,. :. ..r....... .. .. .. r. .... ,... .... r. f. .. .... .. .. .. ..
PAYMENT DifTE
10/02/91 7190 50.: 00
................................................
TOTAL DUE- ,00 TOTAL PAID- 5 ,00
PERMIT TYPE
E AMOUNT
SEWER PERMIT 50,00 50 . 00 .00
50 ,00 50 ,00 .00
F'ROCE T.17 T TO
PRINTED • ie
'i
T t iv+.. '
+:
WhlYTTE —DEPAifirNT—(.4566
CONTRACTOR OR APPLICANT TS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING , WATER LINES, FCT ,T
:. : : BEFORE
:: E•: ! r:.
i
THAT THEY ARE SEWER STUBS ARE TO BE CHECKED PRIOR TO cONNECTIoN To INSURE
CLEAR
:1::!:**Y:sk CALL FOR INSPECTION PRIOR TO COvER
24 HOUR NOTICE REQUIRED
THANK :y. :!(.:vi.:!(.:!j.3'.:;i.Si.:a :p(. .*::'.:!:. .. ,... :.r.....