1992, 05-15 Permit: 92002424 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
VK1303BROADWAY AVENUE
SPOKANE, WASHINGTON S9260
(509) 456-3675
1 certify that I have exam inedth is permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
u correct, and authorize Spokane County to proceed with processing. In addition, / have read and understandm /wopscTmmnsou/nsmsmnawcx/xE
provisions included herein and agreetocomply wAh same. All provisions of lawsand ordinances governing this type of work will becomplied with whether specified
herein ornot. I understand that the issuance of this permit/application and any subsequent inspection appmvals or Certificates of Occupancy shall notbeconstruedto
give authority to vKhte ormncel the prorvisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OnAGENT DATE
PROJECT NUMBER= 92002424 ISSUED PERMIT DATE= 0505/92 0477= Gi
**************************** PERMIT INFORMATION ****************************
SITE STREET= i5ii5 E 26TH AVE PARCELO= 26544-1813
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — VERACRE%T (92%-332)
***
SEE NOTE **-)(-
PLATO=
**PLATO= OOi593 PLAT NAME= MCLAjHLIN ADD
BLOCK= 2 LOT= is ZONE= AFR DI%TO= F
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= STEVENS, AR PHONE=
STREET- 15115 E 26TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER- 509 924 5485
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*****************************
SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
%TREET= j6492 E VALLEYWAY
ADDRE%%= VERADALE WA 99O37
ITEM DESCRIPTION QUANTITY FEE AMOUNT
—.... .... .... .... .... .... —.... .... .... -------------- -------- -------------
PROCESSING FEE Y 10.0O
SEWER CONNECTION i 40.0O
******************************* PAYMENT SUMMARY ****************************
PAYMENT
DATE RECEIP0;: PAYMENT
AMOUNT
05/15/92
3632
50.0O
TOTAL DUE=
------------
.00 TOTAL PAID=
5O.00
PERMIT
TYPE
FEE AMOUNT AMOUNT PAID AMOUNT
OWING
---------------
%EWER
PERMIT
------------- ------------ -------------
50.00 50.0O
.O�
------------- ------------ -------------
50.00 5O.00
.00
PROCESSED
BY: DOMITROVICH,
ROBIN
PRINTED
BY: DOMITROyICH'
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 PIPINGWATER 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 *********************************