1991, 08-15 Permit: 91003911 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 pro isions 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 `/ / APPLICATION AV:=,/,
OWNER OR AGENT �= �, _ice DATE
PROJECT NUMBER= 9 1 L;J L: } 1 •# .#.::}:•i.i r: tJ PERMIT .�ATE 08/15/9i f•'i�•i[s E 0 1
F:::.f4#"!.!. ! .#.?'`?#'#.!'t#9,{••t # .?.•..,,•J A................................:'F:'r:'!!:'P:44:'}...Pi•t!r
SITE i... S # REET=:: 15916 E 23RD CT PARC r •• 25542-904B
s,,
ADDRESS= l'1::.#'!`.('.1.)r{?...t'. WA r;::;y;!..i- -,,
PERMIT '.s,.r•.... ::r#::.i;;{{::.#"•. i.:Oi`?{::.t.: I ;.t..J!' :.t.%3!•s#::.#"#iiia i ESTATES NO } 2ND iti.Di..)
PLAT4= 004499 PLAT{ i• f.t{••{••:::: F:]:DL.ri:..f tON # EST NO''v ::.i..,.r
LOT= 11 ZONE= UR-3,5 DISTO=
. {.
AREA= i•:r��j::: ! WIDTH= 'j DEPTH—f... .:..040 R/W= iL)
•te• OF ?_{l....;J t:r::}.... ,!i;;t{::.#...#. .#.N G:,.... s WATER ).!.#.... # .... VERA
OWNER= DOUGLAS' LANZCE PHONE= 509 489 4260
STRLEi = 815 11 ROSEWoOD AVE
ADDRESS= SPOKANE WA 99208
:# ! { tt1: LNI - ' ?O_ ,LSi RIGHT=
PHONEdi NUMBER=
UM sR
z ) 789 4260
BUILDING. 4: ! s < ` FRONT= ` a LEFT= NA ifix{ \{
. : P .*. . 'i : :: 1i... E *; N: PPh . .. :. SEWER p: t ' { { ::* {A : : nq {Pa ; (r* L : { jR
t) ) Pk
CONTRACTOR= {}i't ` A t:.} fh N .; I,r {PHONE= 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
liEm Di-.SCRIPFION QUANTITY FEE AMOUNT
PROCESING FEE
-10,00
SEWER:.}CONNECTION 40
,00
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3.:. i,,.h:. :...:.,L 1.!.:... ..,.!.r.!. !.,..-.A:.„,.,.1.A , �{ 7 {'i:::.#�? # ,:}I,•i t{,i Get; :!i'hi'Ai i!&i7•!!r•Nr.)!..!!.*.)}..;}.)}..j}.:p,r}(.*.Pr.!-?•:Ni;F.)}..)}..j}..{!:•i'!i:u:•Pi
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/15/91 56.)81 50. 00
TOTAL DUE= .00 TOTAL PAID= 50,00
PERMIT Y. .•.. FEE AmOUNI AMOUNT PAID AMOUNT OWING
---
SEWER P':::'" M.1. 3' 50,00 ::i,.^),}.)0 ,00
PROCESSED BY : WENDEL , GLORIA
SEWER STUB AS—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-3604 )
CONTRACTOR i'r=: APPLICANT j i i FIELD LOCATE AND CONFIRM :..1;:-
ELEVATION AND POSITION OF SEWER STUB U):t h:,...... R TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING,ING, hiis ..i :R LINES, a::.C..#_ ..
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS
s'l .,l r TO E CHECKED PRIORCONNECTION INSURE
THAT , i"#E Y i-a#';E CLEAR AND UNOBSTRUCTED O .#+t... SEWER MAIN
J!i'iti'i >�i'i;i !i•)i••ii• CALL L.... FOR:: :'-!:'r~r:.CT
I T N PRIOR '.# COVER :�?.is 'i::. {.* ;.
'!k:yy::!!:;!i•!•:.!!...,..!!•..!r :,4 H{„#U t•�:.. N{:,{.3: `.!.. REQUIRED
_"#:{1 ; t..:?..D} }..!(.j;..}}j;...!;.:1:.:}:.,!r }.
456-3604 i!i'i!!i!}r;!::.'1':Pi•..,...);.
.!!._!..,...!;..:.-il..}.....}y..}..!s..!!..!!..!,..,!..!}..!...}!..!!..!!..!!..!!..,!..!!..,...}!..}!..}!..!!..!...y!..µ. THANK : .!!.*****§ :k***************** *****