1991, 10-02 Permit: 91004854 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 correctand authorize Spokane County to proceed with processing. In addition, I have reaand understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to com / ith same.All provisions of laws and ordinances governing this of work will be complied with whether sm^d
herein or not.I understand that the issuance of this permit/apx m/vnvnuunreuum«u°ntmavootionovvnovu/oo,Cemooumovf000vvumvuxvnnot»ouonstmoum
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= 91004854 I%%UED PERMIT DATE= 10/O2/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE %TREET= 1i412 E 30TH AVE PARCELO= 28543-4921
ADDRESS= SPOKANE WA 99206
PERMIT USE= %EWER CONNECTION - %OUTH KOKOMO
*** EEE NOTE ***
PLAT:1k= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= LOT= ZONE= AG%UB DI%T4=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
C OF BLDG%= i 0 DWELLINGS= i WATER DIET =
OWNER= CARO, RON PHONE=
%TREET= ii4iE 3OTH 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 CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VA| LEYWAY
ADDRE%%= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ---------- |
PROCE%%Iir FEE Y 10.00
%EWER CONNECTION i 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/02/91 7i95 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
%EWER PERMIT 50.00 50.00 .80
------------- ------------50,00 50,00 5O.00 . 00
PROCE%%ED BY JULIE JHATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% 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 LINE%, ECT ,
CALL BEFORE YOU DIG (450-8000)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR N B%TR D TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************