1991, 04-11 Permit: 91001145 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)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 correct, and authorize Spokane 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= 000ii45 ISSUED PERMIT I}ATEA= 04!11x'91 PAGE= iii
PERM -IT INFORMATION
SITE STREET= 15120 E:: 24TH AVE: PARCELO= 265444703
ADDRESS= VE.RADAL..E: WA 99037
PERMIT USE= SEWER CONNECTION ••- DISHMAN-••MICA INTERCEPTOR PKG 04
SEMI NOTE. ***
PLATO= 001593 PLAT NAME= = MC LAUGHLIN ADI}
BLOCK= i LOT= :3 ZONE= AGRI DIST*= r
AREA= tyiyC,0� 000 F/A= F" WIDTH= DEPTH= R/W= 60
M OF BLDGS= 1 0 DWELLINGS= i WATER DIST
OWNER= MYE RS , R A PHONE=:
=:
STRE"E"T== 15120 E 24TH AVE
ADDRESS= VERADAL..E WA 99037
CONTACT NAME= TERRY COURCHAINE:; PHONE" NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
u x x atx �t a� u � �►x
SEWER PERMIT ��aia����>r>r������>�����►�x��;tux�>t>i
CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E 12TH AVE:
ADDRESS= SPOKANE WA 9906
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- _..__.____
PROCESSING FLEE Y i (? 00
SEWER CONNECTION i 4�' • �`'4}
aR xa� >F xx a>h atx x a� PAYMENT SUMMARY
PAYMENT DATE. RECEIPT; PAYMENT AMOUNT
04/11/91 1977 50.00
------
TOTAL_ DUE= .00 TOTAL PAID= -_50.00
0 s 00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 00 00
__..____..___.._..__._.__ _ 8 ______.__..__..__._. __
5000
PROCESSED BY: JULIE EHATTO
PRINTED BY: JULIE SHATTO
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE: COUNTY
UTILITIES DEPARTMENT (456--3604)
CONTRACTOR OR APPLICANT IS TO FIELD D L..00ATE:: ARID CONFIRM 'T'HE"
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE. BURIED CABLES, CTAS PIPING, NG, WATER LINES, ECT.,
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE:: CHECKED PRIOR TO CONNECTION TO INSURE
RE::
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
x x�tx �ia�x CAL..!_. FOR INSPECTION PRIOR TO COVER
a� 24 HOUR q NOTICE REQUIRED
=4
`.56--;3604
THANK i(OI.J
Project
Address; --- _----- —
Dept: Date
Dept, of Bldg& _--
tt...
Engineer's --- --
Plapn;ing _.__
A=
Special insp. Final Report__------� - ---- ----- --�—---------
Hydrant ( ) _. .__ ----_. _._-- __-- -- ____
Lack Box .---
- _ - --n- - --- -
Utilities
i
N nety days after C/O issuance:
Owner/contractor called regarding the return of pians __---__-_, Date:
Flans returned: - _.----- -------------- -___._--- --- ---- ___ ____-_._._____-- Received
No response from owner/contractor - plans destroyed. __- -- -._-- -___--