1991, 10-02 Permit: 91003954 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 98260
(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 prmit/application is true
and correct, and authorize Sokane 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= 91003954 I%%UED PERMIT PAi7,E= 0i
**************************** PERMIT INFORMATION ****************************
SITE STREET- 10713 E 20TH AVE PARCE! -44!:•:)8
ADDE%%= %POKANE WA 992O6
PERMIT U%E=_SEWER CONNECTION - NORTH KOKOMO
*** %EE NTE ***
PLAT:4= 002393 PLAT NAME= sKYVIEW ACRE% i %T ADD
BLOCK= 4 LOT= 8 ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH=
4 OF BLDG%= i 4 DWELLINGS- i WATER DIET =
OWNER- GOODWIN PHONE=
%TREET= iO7i3 E 2OTH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 548�
BUILDING %ETBACK% ' FRONT= NA LEFT= NA RIGHT= NA REAR= NA
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
** **************************** PAyMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
i0/O2/91 7i54 50 . 00
iuiAL DUE-DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWINC:,
--------------- ------------- ------------
SEWER PERMIT PERMIT 50 . 00 50 .00 .00
------------- ------------ -------------
5O. 00 50 .00 . 00
PROC E%%ED BY : JULIE %HATTG
PRINTED BY : JULIE %HATTO
%EWER %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT 0456-3604 >
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFGRE YOU DIE ( 45"-80OO )
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 **********
********* 456-36O4 **********
********** *** *** **** *** * THANK YOU *********************** **** **