1992, 10-20 Permit: 92009101 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 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92009. ISSUED PERMIT DATE= j# 0/20/ 97 PAGE= !:'j;
} } k i k l PP ¢ ¢ ¢} } P { [} } } PA} *} PriA ¢ PERMIT INFORMATION t} } } } P} k PAlk C A} M} k: t C r :**
SITE E 1RFE I :::: 2011 t It"tBER3._AjJE DR F'fi'CC1^.i._4:_: 45252, 0401
ADDRESS= Stl::. ±..t-!!?fti...i:. WA 99037
PERMIT USE= SEWER CONNECTION !:RIDG !"1t_iN I ESTA I ES NOi:•4 (.%:.5;>.._1 0••,;,
.}!:''r.' SEE.. NOTE TE: a}i.}i.
' _ATo= 005178 PLAT CA" _= RI )G Eniv_ ESTATES!hTEr ± C , 4 .
-
.
BLOCK= LOT= 3
AREA= l=,/.r.i:::: F WIDTH= DEPTH=T'F•l:::: F ri.;i:::: 50
.r. OF BL..Dtx, »-• 'i 'e• DWELLINGS= 1 WATER DIST = VERAH BLDG
S=
HARLEY DO!U}G�� INCLASS NC PHONE= 509 .489 4260
STREET= 815 E ROSEOOD
ADDRESS= SPOKANE WA 99208
CONTACT NAME:::: HARLEY DOUG 1...A ` PHONE NUMBER= 509 489 4260
BUILDING SETBACKS :BACKS : F RIO JT:-: N/A LEFT:::: N/A RIGHT= N/A REAR= N/A
*}i}i'*h:a'ii•}i}i}f'P:ji.}i..b:***}!:'i4*•,t}i a* ri...}i.}i. sEwER pERmIT jt:...R•.P:* :*A:***P:}{...... t•.*:!!:..-i!:*1!:}i..P:*}t::!±•}t•*
CONTRACTOR= HARLEY L DO'ital._r.};t•S INC Pl'ii1i41. 750'.? 489 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS:::: SPOKANE WA 99208
ITEM DESCRIPTION RIsPTION c UANT ITY FEE AMOUNT
PROCESSING i:rJr FEE 10,00
SEWER CONNECTION 1 40,00
n..p...R.}t}R..p'..p:.*}{•Sj•}{•:p•}i•}4}4•},.•jf•}!.•}¢'D•}C}k 9l•:p..jj.}t•}(}l h** PAYMENTSUMMARY 7l•}{}{•}t•*}±'.R}t'}t}?'}t T.•al'}{•9t•it 3t 9t'H:}!:i±•'J!:•P:9±•7t..S±•.P:i+:
PAYMENT DATE - - :: . r1.41: PAYMENT AMOUNT
10/20/92 9; 44 50,00
TOTAL T'AL. DiUE-= TOTAL l-AID= 50„()0
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT!-#::.F :i:ET' {':'r•I_Ji.i;� 1 Otxi..N;..v
SEWERPERMIT 50, 00
50,00 :(:ij
50,00 x:
PROCESSED BY : DOM TROk IC. H, ROBIN
PRINTED } t : DOMi.TR3..+'g iCH , ROBIN
SEWER STUB AS-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
'i
UTILITIES DEPARTMENT x456- 3 04!
CONTRACTOR`. ORAPPLICANT TO FIE
.L,fir 1 :..) FIELD r:.l_.?.j i...(.1r':Ai :. �i N;,i CONFIRM THE
1::.
ELEVATION rel 4 D POSITION OF SEWER "%.i T:i PRIOR TO ANY OTHER
AVA T ION
TO LOCATE BURIED t YOU
CABLES, iY :�• PIPING , W A #'E::r'� LINES, ECT ,
CA1...1... BEFORE:. Y OU D G (4S6-8000)
SEWER , UBS ? l: TO BE CHECKED :R"IO; TO CONNECTIONv' v
INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
-ti•},;}{}c*}r}±•a R• CALL r'1,1 r! INSPECTION PRIOR TO COVER n..a.**.n•is}i••Pi.p,..r.
24 HOUR NOTICE REQUIRED J J'Jt•}i•a: m>i ii•fi
A'}4•Di••Mr•7k}{•}k:A}r -3604 .u.:ui i`k:0.••F:•Ni'A•ia:
j ) } } } } ! t} } } } J } } NNL {} P} *b} } } } t 3 } } THANK YOU
:'?'R"/!'}t}t,}!'}t•X}C}e•}!;'ji•}(•}i•}i'}+:r'}r}t:!!'A'')!:}t'N:}!:M'}t.!:t!'.t''jk}!:.!: