1990, 07-11 Permit: 90003073 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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 .0 permit/application is true
and correct, and authorize S
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 OnAGENT DATE
PROJECT NUMBER= 90003073 71ATE= 07/11 /90
ISSUED PERMIT
**************************** PERMIT INFORMATION ********************* ******
p�`~- �
SITE STREET= 1291i E 22ND AVE ` ' = •.- ' �
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER CONNECTION - 8801
*** SEE NOTE ***
PLATO= 001046 PLAT NAME= GPPOR UNITY TE RACE 4TH ADD
'
B = 5 LOT= 13 ZONE= AGRI DI%TO=
AREA= 00000-::: : r'''' ,)EPTH= =
0 OF BiDGE= 4 DWELLING%=
GWNER= KULLA, FRANCIS PHONE=
STREET= 12911 E 22ND AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*****************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
"- ^=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------ - -
PROCESSING FEE Y 10,00
� %EWER CONNECTION i 40 . 00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
7/ii /9O 3932 50 . 00
------------
•
OO TOTAL PAID= �O
TOTAL DUE= ^ = 00^
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWIN�
--------------- ------------- ------------ -------------
%EWER PERMIi 5O . O0 50 .00 . 00
------------- ------------ -------------
5O. �O 50.00
PROCE%%ED BY � JULIE �HATTO
PRINTED BY : JULIE JHATTO
7.-EWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
• UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT .
CALL BEFORE YOU DIG (456-W)00)
SEWER STUBS RE TO BE CHECKED PRIOR TO CONNECTION TO JN%URF
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* ��(�L FOR INSPECTION PRIOR TO COVER **********
********* CALL 24 HOUR NOTICE REQMRED **********
********* 456-3604 **********
******************************** THANK YOU ************************^- '
•