1991, 08-16 Permit: 91004768 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BRQADVKAY AVENUE
SPOKANE.WASNIUGTON3S2GO
(569)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 o 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 APPLICATION
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OWNER OnAGENT��� - , ~�~�� n/�~ -� _ .~° DATE
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PROJECT NUMBER= 91004768 ISSUED PERMIT DATF= O8/i6/9i PAGE= 0
********************* ****** PERMIT INFORMATION ****************************
SITE STREET= 1592.3 E 23RD CT PARCELT-= 25542-9048PTN
ADDRESS= VERADALE WA 99037
PERMIT USE= SEWER CONNECTION — RIDGEMONT ESTATES NO 4 2ND ADDITION
*** %EE NOTE ***
PL �= ::::::00 PLAT NAME= RIDGEMONT E%T NO4 2 D
BL K= LOT= 8 ZONE= UR-35 DIJTO= FAREA= F/A= F WIDTH= DEPTH= R/W= 50
0 OF BLDG%= i 0 DWELLINGS= i WATER DIET = VERA
OWNER= DOUGLA%% LANZCE PHONE= 509 489 4260
STREET= 815 E ROSEWOOD AVE
ADDRESS= SPOKANE WA 99208
CONTACT NAME= LANZCE DOUGLA%% PHONE NUMBER= 5O9 489 426O
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
� ITEM DESCRIPTION QUANTITY FEE AMOUNT
a ------------------------- -------- ----------
' PROCESSING FEE Y iO.00
SEWER CONNECTIONi 40.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
08/16/91 5777 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 5O.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ ------------
SEWER PERMIT 50.00 50 .00 .00
------------- ------------
50,00 50,00 5O.00 .00
PROCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
SEWER STUB A%—BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT (456-36O4)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER %TUB 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 ND %T D TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TG COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU ***************************** ***
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