1990, 10-16 Permit: 90005424 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 correcand authorize Sokane County to proceed with processing. muumuuo. / xmmmu and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to com / ith same.All provisions of lo ordinances governingthismwork wmuocomplied°nowomhem mou
�� m /understand mm/ permit/applicationa� ����/ ��� typeCeOccupancy 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 confowiththe state local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
-
PROJECT NUMBER= 90005424 n
AIE= fc:,)/i6/9O PAGE= Oi
PERMIT
**************************** PERMIT INFORMATION ********R-*******************
CITE STREET= 15821 E 23RD AVE PARCEL4= 25545-9048
ADDRESS= SPOKANE WA '99216
PERMIT SEWER CONNECTION FOR RESIDENCE-
*** %E� NOTE ***
PLAT4= 003716 PLAT NAME= RIDGEMQNT ESTATES N4 i %T
BLOCK 3 LOT= 4 ZONE= ,SEP::: DI%T4=
AREA= F/A= F WIDTH= DEFTH= W= 6O
0 OF BLDG%= i 4 DWELLINGS=
OWNER= DOUGLA%%, LANZCE G PHONF= :7::7' 489 426O
STREET= 815 E ROSEWOOD—AVE
,
ADDRESS= SPOKANE WA 99208
CONTACT NAME= HARLAN DOUGLA%% PHONEE
NUM� R= 509489 42�O
BUILDING SETBACKS : FRONT= 33 LEFT= iO RIGHT= 17 REAR= 47
***************************** %EWERPERMIT ******************************
CONTkACTOR= HARLEY C DOUGLASS INC PHONE= 509 489 4260
%TREE—� 8i5 EAVE
ADDRE%�= ��3KANE: WA 992O8
ITEM DESCRIPTION QUANTITY
------------------------- -------- ---
PROCE%%ING FEE • O .O�
SEWER CONNECTION i 40. 00
******************************* PAYMENT %UMMARY ************************** *
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
10/i6/90 6421 50. 00
------------
. TOTAL DUE= .00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
E:R PERMIT PERMIT ' 50.00 50.00 .00
------_—_---- ------------
50, 00 50,00 50.00 . 88
PROCESSED BY : JOHN LAR%ON
PRINTED BY) JOHN LAR%ON
%EWER %TUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT —3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THF
ELEVArFR
��N AND POSITION OF SEWER STUB PRIOR TO ANY OTH
EXCAVATION
TO LOCAE }B]RIED CABLES, GAS PIPING, WATE— LINES, FCT .
CALL „BEFORE YOU DIG .456—8000)
SEWER STUBS ARE T BE CHECKED PRIOR TO CO
. ECTION TO INSURE
THAT THEY ARE^CLEAR AND - UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR IN%PECTIOH PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 .' **********
}
*********************** ******* THANK Y8U *********************************
•
SPECIAL CONDITION CHECKLIST
Project
Address: _ Project# Use:
Dept: Date: Condition: nit Appr:
(in) (out)
Dept.of Bldgs. ---- — ^N
— Special Insp.Final Report
—----- — Hydrant( )
--- — Lock Box
Engineer's___. RID/CRP
--- Easements
-- — Road Plans/Improvements
Bonds
Planning Bonds__
Utilities_— Double Plumbing
ULID
Other•
" THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY 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: ___