1991, 03-21 Permit: 91001156 SewerSPOKANE 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 iu 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 t 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
OWNER OR AGENT
PROJECT NUMBER= 9\001156
APPLICATION
DATEOfr
ISSUED PERMI'i
*************************** PERMIT INFORMATIGN **************************
***
2224 % %ONORA %T
VERADALE WA 99037
%EWER CONNECTION - RIDGEMONT ESTATES NO4 2ND
TF ***
PARCFL4= 25545-9059
AT4= 004499 PLAT NAME= RIDEMOT EST NO4 2ND_
LOT= � TONE- UR -3,5 yIS_,,�=
00000000 ESA= F WIDTH= 117 DEPTH=
4 DWELLING%= i WATER DIST = VERA
ID 838i4
C�NTACT NAME= TOM
BUILDING FRONT= NA
***************************** %EWER PERMIT
= UNKNOWN
UNKNOWN
UNKNOWN WA UNKNOWN
ITEM DESCRIPTION
PRO2T-ING
SEW FEE
%EWER CONNECTION
162
PHONE= 208 664 0470
PHONE NUM3ER= 2O8 664 O47�
RIGHT= NA RER= NA
******************************
QUANTITY
FEE AMOUNT
10,00
40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE
PERMIT TYPE
SEWER PERMIT
PERMIT
KD�L
""`
BY�
> BY
1�
RECEIPT4
FEE AMOUNT
50.00
50,00 -----------
5O.00
%EwER %TUB
UTILITIE% DEPART
AMOUNT PAID
50,00
50,00 -----------
5O.0O
PAYMENT AMOUNT
AMOUNT OWING
------------
.O0
INFORMATION I% AVAILABLE AT THE flO;NTY
(456-36O4)
OR APPLICANT TO
AND POSITION OF SEWER
CABL
DIG (
%EWER %TUB% ARE TO
THAT THEY ARE C
****** CALL
********* HOUR
R
- --`-`
LOCATE AND COFIRM THE
PRIOR TO ANY OTHER
GA% PIPING, WATER LINE%, ECT.
-8OOO)
;N TO IN%URF
-ER MAIN
**********
**********
*********
******************************** THANK YGU *******************************
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date:
Condition:
Project # Use'
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
Init: Appr:
(in) (out)
*******************************THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY ******************************
Date received for C/O processing:. Plans pulled for final processing:
Temporary C/O issued: Certificate of Occupancy issued.
Office file review by Date:
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date.
Plans returned Received by:
No response from owner/contractor - plans destroyed: