1992, 03-10 Permit App: 92001434 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456'3675
/ certify that / have examined thispermit/application,state tht the information conta' d in it and submittedo ,m compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. 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= 9200143*
APPLICATION DATE= 03/10/92 PAGE= wi
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED Fon COMMENCING WORK WITHOUT A PERMIT
------------------------
SITE STREET= STRssT~ z102 % CHERRY RD
ADDRESS= SPOKANE WA 99206
PERMIT USE= SEWER CONNECTION - *zLLonsST <92%-181/
*** SEE NOTE ***
PLATO= 000752 PLAT NAME= EVERGREEN csn.oF FREEMAN
BLOCK= 22 LOT= 39 ZONE= AGSua nzsTO=
AREA= F/A= F WIDTH= DEPTH=
OF aLoGS= i � DWELLINGS= i WATER DIST =
pARCsLO= 275*2-2239
F
P/w=
OWNER= UmKwOwEN PHONE=
STREET= 2102 E CHERRY RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COURC*AIms 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 pz* 5485
�T�EsT= ia�O� s v���sYw�Y
�DnRs%%= �ER�D��E w* 99n�7
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION 40.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT pERwzT 50.00 .ww 50.00
------------- ------------
50,00 .00 .wo 50.00
PROCESSED BY: nOMITnovzc*, ROBIN
PRINTED BY: DomzTmovzC*, ROBIN
SEWER STUB AS -BUILT INFORMATION IE AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT <456-360*>
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 LINES, scT
CALL BEFORE YOU DIG (*5-8wow) ' ^
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION To INSURE
THAT THEY ARE CLEAR Am %T T n To THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR To COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK You *********************************