1992, 10-21 Permit: 92009136 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
w. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
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 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= 92009136 I%%UED PERMIT DATE= 10/21 /92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12714 E 23RD AVE PARCEL4= 45272.3001
ADDRESS= SPOKANE WA 992i6
PERMIT USE= SEWER CONNECTION - HILLCRE%T (92%-1078 )
*** SEE NOTE ***
PLAT0= 001223 PLAT NAME= HILLCKE%T ACRE% 2ND ADD
BLOCK= 4 LOT= i ZONE= AG%UB DI%T4= 1::-
AREA=
AREA= O0000000 F/A= F WIDTH= DEPTH= R/W= 50
0 OF BLDG%= i � DWELLIN�%= i WATER DIET =
OWNER= HAYE% PHONE= 509 924 3319
STREET= 12714 E 23RD AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= COURCHAINE EXCVATION PHONE NUMBER= 509 924 54G5
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
%TREET= i64O2 E VALLEYWA�
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
----------
PROCESSING FEE Y iO.00
SEWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/21 /92 9293 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
SEWER PERMIT 50 .00 50.00 . 00
------------- ------------
50,00 50 5O.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
%EWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION GF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GASPIPING , WATER LINES, ECT ,
CALL BEFORE YOU DIG (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 *********************************