1991, 09-19 Permit: 91005795 SewerSPOKANE COUNTY DEPARAIENT 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 voou withvmummmo In addition/have read and understand the INSPECTION REQUIREMENTS/NOTICE
01-ovisions included herein and agr: to com ly 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 t is uance f this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cance e rovi ' ns of any state or local law regulating construction, or as a warranty of conformanc with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
PROJECT NUMBER= 91005795 ISSUED PERMIT
DATE= 09/19/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 15803 E 22ND CT
ADDRESS= VERADALE WA 99037
PERMIT U%E= SEWER CONNECTION - RIDGEMONT ESTATES NO.4 1ST ADD
*** SEE NOTE ***
PL 4= 005091 PLAT NAME= RIDGEMONT ESTATES N04 3RD
BLOCK= 2 LOT= i ZONE= UR -3.5 DI%TO= F
AREA= F/A= F WIDTH= 1..15 DEPTH= iOO R/W= 50
0 OF BLDG%= 4 DWELLINGS= i WATER DI%T = VERA
PARCEL4= 25545-9059
OWNER= HARLEY C DOUGLASS INC
%TREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME= HARLEY DOUGLA%%
BUILDING SETBACK-. FRONT= NA LEFT= NA
*****************************
SEWER PERMIT
PHONE= 509 489 4260
PHONE NUMBER= 509 489 426n
RIGHT= NA REAR= NA
******************************
CONTRACTOR= HARLEy C DOUGLA%% INC PHONE= 509 4S9 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE FEE Y 10.00
SEWER CONNECTION 1 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/19/91 6737 50.00
TOTAL DUE= DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
SEWER PERMIT PERMIT 50.00 50.00 .00
------------- ------------
50.00 50.00 5O.00 .00
PROCE�
PRP
D BY: WENDEL GLORIA
� �
D BY: JULIE ,HATTO
SEWER STUB A% -BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELE —ION AND POSITION OF SEWER STUB TO ANY OTHER
EXCA
TO LOCATE BURIED CABLES,GAS PIPING, WATER LINES, ECT,
CALL BEFORE YOU DIG (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 *********************************