1991, 09-23 Permit: 91006130 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 p ovisions 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. i
SIGNATURE OF / APPLICATION 7/4.-5/11
OWNER OR AGEN 12,_ % � �I DATE
Orf
PROJECT NUMBER= 91006130 ISSUED PERMIT DATE= 09/23/91 PAGE= t:,i
•xxxxxxxxxxx*xxxxxxxxxxxxxxx PERMIT INFORMATION **h ****** h•AQ P:***P:*•*•x***••*•
SITE STREET= 2120 S T I MBERLANE DR PARCELO= 25542-0401
ADDRESS= VERADALE WA 990
PERMIT USE= SEWER CONNECTION .._ RIDGEMONT ESTATES NO4 3RD fjli1
*** SEE NOTE xxx
PLATO= 00 091 FLAT NAME=:: RIDGEMONT ESTATES N04 3RD
BLOCK== 7 LOT= 5 ZONE== UR-3,5 D I cT z::= F:
Al E.A== F'/A= F" WIDTH= 1 00 DEPTH= i25 I /W= 50
0 OF BLDGS= 0 DWELLINGS= I WATER DIST :_: VERA
OWNER=:: DOUGLASS, LANZCE G PHONE= 509 489 4260
STREET= Oi 5 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME:= LANZCE DOUGLASS PHONE NUMBER=::
BUILDING SETBACKS : FRONT= NA LEFT== NA RIGHT== NA REAR= NA
xxx*xxxxxxxxx*********** **** SEWER PERMIT xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
CONTRACTOR= DOUGLASS, LANZCE G PHONE= 909 489 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 10,00
SEWER CONNECTION i 40.00
xxxx.x.xxx*xxxxxx.xxxxxxxxxxxxx PAYMENT SUMMARY xxxxxxxxxxxxxxxxxxxx•xxx•xxb:xx
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/23/91 6846 50.:00
------------
TOTAL.. DUE== ,00 TOTAL PAID= 50,00
PERMIT TYPE FEE AMOUNT AMOUNT PAII) AMOUNT OWING
SEWER PERMIT 50,00 90.00 .:00
50,00 50.00 ,00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : JULIE SHATTO
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
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.,
CALL.. BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
xxxxxxxxx CALL.. FOR INSPECTION PRIOR TO COVER **x:*******
xxxxxxxxx 24 HOUR NOTICE REQUIRED xxxxxxxxxx
ii•xh(xxxxxx 456_•360.1 • **'xxxx*x
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx THANK YOU xxxxxx************** *x*3********