1991, 12-19 Permit: 91007790 Sewer SPOKANE COUNTY DEPARTMENTOF BUILDINGS
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 said permit/application permit/applicationis true
and correcand authorize Sm^ County to proceed with processing. In addition, have read u understandm 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 0RAGENT DATE
PROJECT NUMBER= 9i007790 ISSUED PERMIT DATE= 12/19/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11214 E 27TH AVE PARCELO= 28543-390i
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KGKOMO (91 -%37)
*** SEE NOTE ***
PLATO= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 39 LOT= 1 ZONE= AG%UB DI%T4= F
AREA= F/A= F WIDTH= DEPTH= R/W= 50
4 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= MALLOY , L A PHONE=
%TREET= 11214 E 27TH 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
***************************** %EWER PERMIT ******************************
CONTRACTOR= COURCHAINE C N%T UCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%INu FEE Y 10.00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYHENT DATE RECEIPTe PAyHENT AMOUNT
i2/19/9i 9569 50.00
� ------------
TOTAL DUE= . 00 TOTAL PAID= 50 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
i --------------- ------------- ------------ -----_______-
SEWER PERMIT 50.00 50 .00 .00
------------- ------------ -------------
5O.00 5O.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITRGVICH, ROBIN
SEWER STUB AS-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 *********************************