1991, 10-02 Permit: 91003812 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 Coty to proceed with processing. In umu I have read u understandm 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= 91003812 'ISSUED PERMIT DATE= 10/02/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11416 E 19TH AVE PA28542-24O2
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - NORTH KG|(OMO
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TGWN%ITE
BLOCK= 8 LOT= ZONE= |]R-3.5 DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
GWNER= LEPARD PHONE=
STREET= 11416 E 19TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 "�4P";
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA '
********** ****************** %EWER PERMIT ***** * ********************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ************* **************
PAYMENT DATE RECE7PTO PAYMENT AMOUNT
10/02/91 7151 5O .00
TOTAL DUE=DUE= . 00 TOTAL PAID= 50. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT 111,1INF;
--------------- ------------- ------------
SEWER PERMIT PERMIT 50. 00 . 80
------------- ------------
50,00 50,00 50.00 . 00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWEH STUB A%-BUILT INFORMATION IS AVAILABLE AT THF CO!wTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APP| ICANT I% TO FIELD LGCATE AND CONFIHM T�1E
ELEVATION AND POSITION OF SEWER STUB PRIOR Tfl ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING ' WATER LINES, EC�
' '
CALL BEFORE YOU DIG (45"-8O0O)
gEWER %TUB% ARE TD TO CONNNECTIO �O IN�URF
THAT THEY ARE CLEAR AND UNOBSTRUCTED TD THE Tu MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************* THANK YG; *********************************