1991, 04-25 Permit: 91002050 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE.WSHINGTON 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 Sokono County to proceed with processing. In oom I have read u understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and ag e 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 he ssuance of this permit/ ••lication and any:subsequent inspection approvals or Certificates Occupancy shall not be construed to
give authority to violate or canc I t provi ions of an st. loca w regulating construction,or as a warranty of conformanc with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION _z /
OWNER OR AGENT
DATE
PROJECT NUMBER= 91O02O50 I%%UED PERMIT DATE= 04/25/94 PAGE= Oi
* ************************** PERMIT INFORMATION ****************************
SITE STREET= 15910 E 23RD CT PARCE25545-9O59
ADD RE%%= VERADALE WA 99037
PERMIT U%E= %EWER CONNECTION / RIDGEMONT ESTATES
*** SEE NOTE ***
PLAT4= 002248 PLAT NAME= RIDGEMONT E%TATE%
BLOCK= 2 LOT= 12 ZONE= UR 3.5 DIET4=
AREA= OOOOOOOO F/A= F WIDTH= 95 DEPTH= 19i R/u= 50
4 OF BLDG%= i 4 DWELLINGS= i WATER DIET = VERA
OWNER= HARLEY DOUGLAS INC. PHONE= 509 489 4260
STREET= 815 E RO%EWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME= HARLEY DOUGLAS PHONE NUMBER= 509 489 4260
BUILDING SETBACKS : FRONT= 31 LEFT= 15 RIGHT= 8 REAR= 50+
******** ************ ******* SEWER PERMIT ******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10 .00
SEWER CONNECTION i 40.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/25/94 2346 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
,SE:WE:R Fr PERMIT 50.00 50.00 .00
------------- ------------50.00 50.00 5O.00 .08
PROCESSED BY : JOHN LAR%ON
PRINTED BY : JULIE %HATTO
%EWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND PO%ITION OF %EWER %TUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% �A% PIPING, WATER LINES, ECT
� ' ' ^
- �� - -� - ' - -- -- ECT,
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 INSPECTION PRIOR TO COVER **********
********* 24 HGUR NOTICE REQUIRED **********
********* 456-36O4 **********
******************************** THANK YOU *********************************
SPECIAL CONDITION CHECKLIST
Project
Address: Project#
--�- --------_—___----- ---------- 1 --_ --Use:___. ------ —----__ _-------
Dept: Date: Condition: nit Appr:
(in) (out)Dept,of Bldgs.
_________________ Special Insp.Final Report._
— _------- ._. -
Hydrant
_________________________ Lock Box
Engineer's____ ---_—._.- _-�-- RID/CRP
------- Easements — — — — �_-
-- Road Plans/Improvements_
_______-----__—_-- -------�____ Bonds
•
Planning__.___ Bonds.
Utilities____ — Double Plumbing._______
—._--- U L I D
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 _
Received by: — ---_.___ ____-- — _
No response from owner/contractor-plans destroyed: ___—_ ____ _____ ___.