1991, 10-02 Permit: 91004127 Sewer __-~_-_~..__-~_^ `
SPOKANE COUNTY DEPARTMENT OF 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 is true
and cn^o and authorize Sx County to proceed with omvmmmo 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= 9i004127 ISSUED PERMIT DATF= iO/O2/94 PAGE= Oi
* ************************** PERMIT INFORMATIGN ****************************
SITE STREET= 11406 E 29TH AVE PARCEL4= 28543-4802
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%IT
BLOCK= 48 LOT= ZONE=
AREA= OOOOOOOO F/A= F WIDTH= i00 DEPTH= i30 R/W=
0 OF 3LDG%= i 4 DWELLINGS= 2 WATER DIST =
OWNER= FOURNIER PHONE=
STREET= ii406 E 29TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 5O9 924 548�
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*************************** %EWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= i6402 E VALLEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40 . 00
****** *********************** PAYmENT gUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/02/91 7149 50 .00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50. 00 50 .00 . 00
------------- ------------ -------------
5O. 00 50.00 . 00
** ************************************************************************
SITE NOTE : TOPIC = GENERAL DEPT = BUILDING
*** ** ************* ******************************************* **********
SITE ALSO INCLUDES EAST i1408 29TH AVENUE
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER. STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604 )
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLEEGAS PIPING , WATER LINE%, ECT ,
1
CALL BEFORE YOU DIG ( 45"-8O0O)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO IN%URE
THAT THEY ARE CLEA� AND UNOB%TRUCTED TO THE %EWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED * ********
********* 456-3604 **********
* ***************************** THANK YOu ******************************* *