1992, 10-22 Permit: 92009219 Sewer ^` °
SPOKANE COUNIY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
/oomfvmut/ouvooxummoom.opmmn/annnounon.omtomunhomm,muonnvontomoumnunuuuummou»vmovnn'agenn000mn000ump rmit/application is true
and correct, and authorize Spokane County to mw withpmv000mu In additionI 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 411,47 APPLICATION
OWNER OR AGENT C:5, DATE
PROJECT NUMBER= 920092i9 ISSUED PERMIT DATF= 10/22/92 PAGE= O^
**************************** PERMIT INFORMATION ****************************
SITE . STREET= 15827 E 21ST AVE PARCELO= 45255 . 9054
ADDRE%%= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION - RIDGEMONT ESTATES NO . 4 ( 92g-1083 )
*** SEE NOTE ***
PLATO= 005187 PLAT NAME= RIDGEMONT ESTATES NO , 4 - 4TH
BLOCK= LOT= 8 ZONE= UR-3 .5 DI �T4=
AREA= F/A= F WIDTH= DEPTH= R/W= 5�
0 OF BLDG%= i 0 DWELLING%= 1 WATER DIET = VERA
OWNER= DOUGLA%% LANZCE G PHONE= 509 489 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME= LANZCE DOUGLA%% PHONE NUMBER= 509 489 4260
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** %EWER PERMIT ******************************
CONTRACTOR= DOUGLA%% LANZCE G PHONE= 509 489 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
ITEM DESCRIPTION QUANTITY FEE AMO6NT
-------------------------
--------
PROCESSING FEE Y 10.00
SEWER CONNECTION i 40 .00
***************************** EAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMGUNT
iO/22/92 9355 50 . 00
------------
TOTAL DUE= .00 TOTAL PAID= 50 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ---- ----- -------------
%EWER PERMIT 50.00 50 .00 . 00
------------- ------------ -------------
5O . O0 50 .00 . O0
FKGCE%%ED BY : DOMITRGVICH ' ROBIN
PRINTED BY : DOMITROVICH, ROBIN
SEWER JTUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIE% VEPAKTMENT ( 456-36�4)
CONTRACTOR OR APPLICANT I% TG FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION GF �EWER %TU3 PRIGR TG ANY OTHER
� �
EXCAVATION
TO LOCATE BURIED CABLEGAS PIPING , WATER LINES , ECT ,
CALL BEFORE YOU DIG ( 456-8000)
%EWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REED **********
******** 456-3604 **********
** ***************** *** ******* 'THANK YGU *********************************