1991, 10-02 Permit: 91004946 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 authorize Spokane County to proceed with »moessmo 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= 9iOO4946 ISSUED PERMIT DATE= 10/1')2/91 PAGE= Oi
**************************** PERMIT INFGRMATION ****************************
SITE STREET- 11316 E 30TH AVE PARCEL'!: = 28543-4915
ADDRE% = SPOKANE WA 99206
PERMIT USE- SEWER CONNECTION - SOUTH KOKOMO
*** SEE NOTE ***
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITF
BLOCK= 49 LOT= ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R''W=
4 OF BLDG%= i 4 DWELLINGS= i WATER DI%T =
OWNER= BANADA, JOHN PHONE=
STREET- 11316 E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DONNA COURCHAINE PHONE NUMBFR= 5O9 924 �4R5
BUILDINC %ETBACKJ : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWEH PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 74S5
%TREET= i640J2 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y iO.00
SEWER CONNECTION i 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATF RECEIPT4 PAYMENT AMOUNT
10/02/91 7i92 50 . 00
TOTAL DUE=DUE= .00 TOTAL PAID= 50 .00
PERMIT TYHE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50 . 00 50. 00 . 00
------------- ------------
50, 00 50 ,00 5O .00 . 00
PROCESSED JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE CO|!NTY
UTILITIES DEPARTMENT ( 456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIR* �*F
ELEVATION AND PO%ITION GF %EWER %TUB PRlOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES , GAS PIPING , WATER LINES, FCT ,
CALL BEFORE YOU DIC ( 45"-8OOO )
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 * *******************************