1992, 06-29 Permit: 92003928 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permiVapplication.state that the information contained m n and submitted by me or myagent locompile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition. I have read and understand the INSPECTION REOUIREMENTSINOTICE
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/applicationand any subsequent inspection approvals or Certilicatesof Occupancy shall not beconstrued to
give authority to violateor cancel the provisionsof any state or local law regulating construction.or as a warrantyof conformance with the provisions of any stateor local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92003928 ISSUED PERMIT DATE= 06/29/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10914 E 31ST AVE PARCEL.;= 45283.5423
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - SOUTH KOKOMO (92S-542)
*** SEE NOTE ***
PLAT:= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR-3.5 DIST= F
AREA= 00013000 F/A= F WIDTH= 100 DEPTH= 130 R/W=
4 OF BLOCS= 1 4 DWELLINGS= 1 WATER DIST =
OWNER= HOOD, DICK PHONE=
STREET= 10914 E 31ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** SEWER PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
06/29/92 4963 50.00
TOTAL DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SEWER PERMIT 50.00 50.00 .00
50.00 50.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, 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