1991, 12-19 Permit: 91007786 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON S92G0
(589)456-3675
1 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 athorize Spokane County to mvoeu with processing. In addition,/have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included heWn and agree to comply with same. All provisions of Wws and ordinances gomming this type of work will be complied with whether specified
herein cn not I undersMnd Mat theissmme ofthis permit/application ancl a" subsequwtinspedion approvals or Certificates of Occupancy shall not be construed to
give authority to vioWte wmncel Me Kwisions of a" sWte w local Ww or as a warranty of confwmance with Me provisions of a" statearlocal
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER onAGENT DATE
PROJECT NUMBER= 91007786 ISSUED PERMIT DATE= i209/9i PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= i260i E 2i%T AVE PARCELO= 27542-2352
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION — 4920i HILLCRE%T (91—%35)
***
SEE NOTE ***
PLATO= 00i222 PLAT NAME= HILLCRE%T ACRES 1%T ADD
BLOCK= 4 LOT= iO ZONE= UR -3.5 DI%TO= F
AREA:::: F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= ZENT, MARY O PHONE=
STREET= i260i E 21%T AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 927 5485
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= i6402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
1209/0 9569 50.001
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 5O.0O .00
------------- ------------ -------------
5O.00 5O.OO .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY; DOMITROVICH, ROBIN
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
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 BEFORE YOU DIG (456-8000)
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 **********
********* 456-3604 **********
******************************** THANK YOU *********************************