1991, 10-02 Permit: 91004945 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 correct, and athorize SkCounty to proceed with processing. In addition, I have reaand 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= 91004945 I%%UED PERMIT DATE= 10/02/91 PAF,E= Oi
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= 11311 E 30TH AVE PARCEL4= 28543-4814
ADDRE%%= %POKANE WA 99206
PERMIT U%E= SEWER CONNECTION - %OUTH KOKOMO
***
EEE NOTE ***
PLAT0= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= LOT= ZONE= AG%(]B DI%T0=
AREA= OOOOOOOO F/A= F WIDTH= 96 DEPTH= 135 R/W=
0 OF BLOCS= i 0 DWELLINGS= i WATER DIET =
OWNER= %KEEN PHONE=
%TREET= 11311 E 30TH AVE
ADDRE%%= %POKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBER= 509 924 5485
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************** *** *****
CONTRACTOR= COURCHAINE CON%TRUCTION PHONE= 509 924 5485
%TREET= 16402 E VALLEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DE%CRIPTION QUANTITY FEE AMGUNT
------------------------ -------- ----------
PROCE%%ING FEE Y iO. 00
%EWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
10/02/91 7189 50 .00
------------
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50 .00 .00
------------- ------------ -------------
5O .00 50.00 . 00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWE %TUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILlTIE% DEPARTMENT (456-3604)
cuNTRAcrOR OR FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF ::...EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO . .... ............l:. )RIED CABLE% �A% PIPIN� , WATER LINE% ECT .
1
CALL BEFORE YOU DIG ( 45"-8OOO)
SEWER %TUB% ARE TO GE CHECKED PRIOR TO CONNECTION TO
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE EEWER MAIN
********* PRIGR TO
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ****************************** *