1992, 05-15 Permit: 92002095 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 Sokane County to proceed with processing. In additionI have reaand understandmo 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= 92002095 I%EUED PERMIT DATE= 05/15/92
**************************** PERMIT INFORMATIGN ****************************
SITE STREET= 13712 E 20TH AVE PARCEL4= 27541 - > 455
ADDRE%%= SPOKANE WA 99216
PERMIT U%E= SEWER CONNECTION - WOLFCRE%T (92%-3O2 )
*** EEE NOTE ***
PLATO= 002717 PLAT NAME= VALLEY HEIGHT% ADD
BLOCK= 2 LOT= 5 ZONE= AGRI DI%T�=
AREA= OOOOOOOO F/A= F WIDH=
4 OF BLDG%= i 0 DWELLING%= i WATER DIET =
OWNER= ANTHONY , JAME% T PHONE=
STREET- 'i3712 E 20TH AVE
ADDREE%= %PGKANE WA 99216
CONTACT NAME= COURCHAINE EXCAVATIGN PHONE NUMBER= 509
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REA = N/A
****** ********** ********** %EWER FERMI ******************************
CONTRACTOR= COURCHAINE CON%TRUCTION PHONE= 509 �24 548�
%TREET= i64O2 E YALLEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOU4T
------------------------- -------- ----------
PROCE%%IN� FEE
�EWE� CGNNECT�ON i 48 . 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT.4 Pf: YMEwT
05/i5/92 3632
--------- ---
T3TAL DUE= . 00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWTNF,
--------------- ------------- ------------
3EWER PERMIT PERMIT 50 .00 50.00 . 00
------------- ------------
50 , 00 50 , 00
50 . 00 . 00
pPGCE:::%ED BY : DOMITROVICH , ROBIN
PRINTED BY : DOMITROVICH , ROBIN
sEWER %TUB A%- U[LT INFORMATION I% AVAILABLE AT THE
UTILITIEJ DEPAPT�ENT ( 456-36O4 )
CGNTRACTGR OR APPLICANT I% TO FIELD LOCATE AND CGNFI3m �*F
ELEVATION AND POEITION GF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
T[� LO~ATE BURIED CAB} E� �A% PI�IN� WA�ER � INE% EC�
C�Li �EFORE YOU DI� �451-8OOO) ' ' ^
EEWER TG TO CONNECTION INSURE
THAT THEY ARE CLEAP AND Uo3BETPUCTED TO 7i-1E
********* CALL FOR IN%PECTION PRIOR T;
********* 24 HOUR NOTICE PEF;UIRED **********
********* 456-364 ********«*