1991, 10-02 Permit: 91004948 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
PROjECT NUMBER= '7i00494 DATE= 10/02/91 FA5E=
AVE PARCEL = 23542
'ADT.)RESS= SPOKANE WA 99206
SEE NOIE
PLAT = 002:::',93 PLAT NAME= SKYVIEW ACRES i .7T
....... .. ..
.. .. .. .. .. .. ................ ..:. .. :. .. .. .. .. ............
BLOCK,:,
AREA= 00000000 F/A= F WIDTH=
It, OF BLDGE= 1 T.-- DWELLINGS= WATER DIST =
OWNER= BYRNE
E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHATNE
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= ffsii REAR= NA
4444:::::,
i. 4.44::4444 :,j..
COURCHATNE CONSTRUCTION RHONE= 509 924
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 990.37
hFE AMOUNT
i ;..
PROCESSING FEE
SEWER CONNECTION
PERMIT TYPE AMUUNi AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50 , 00
50 , 00 50 , 00 , 00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
UTILITIES DEPARTMENT ( 456
ELEVATION AND POET-110N OF SEWER STUB PRIOR TO ANY OTHER
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
24
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