1991, 04-17 Permit: 91001640 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 Ska County to proceed with processing. In omu I have read au understandmo /wspscrmwnsou/nsmswnawor/os
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
OWNER OR AGENT DATE
F'ROJECT NUMBER= 91001640 ISSUED PERMIT DATE= 04/17/91 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
%ITE %TREET= 1105 % WOODLAWN RD PARCEL4= 22543-0828
ADDRESS= %POKANE WA 99216
PERMIT ,USE= SEWER CONNECTION - 8801
*** %EE NOTE ***
PLA002962 PLAT NAME= WOODWARD PARK ADD
BLOCK= LOT= 4 ZONE= UNK DI%T0=
AREA= OOOOOOOO F/A= F WIDTH= DEPTH= R/W=
�
0 OF BLDGE= � ' � DWELLIN i WATER DIET =
OWNER= HENDER%ON PHONE=
%TREET= 1105 % WOODLAWN RD
ADDRE%%= SPOKANE WA 99216
CONTACT NAME= BILL - %IMP%ON %ANITATION PHONE NUMBER= 509 926 4721
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** SEWER PERMIT ******************************
CONTRACTOR= %IMP% N SANITATION PHONE= 509 926 4781
STREET= 7812 E BALDWIN AVE
ADDRESS= %POKANE WA 99212
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 10. 00
SEWER CONNECTIGN 1 40 .00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/i7/91 2139 50.00
TOTAL DUE=DUE= .00 TOTAL PAID= 50.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
EEWER PERMIT PERMIT 50. 00 50 .00 .00
------------- ------------
50, 00 50,00 50.00 .00
PRGCE%%ED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
%EWER STUB A%-BUILT INFORMATION IS AVAILABLE AT THE COUNTY
UTILITIE% DEPARTMENT (456-3604)
CONTRACTOR OR APPLICANT I% TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF %EWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLE% GAS PIPING' WATER LINE%, ECT ,
CALL BEFORE YOU DIG (451-8000)
SEWER %TUB% ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOB%TRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
**** **** 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********
******************************** THANK YOU *********************************
S P O K A NT E O IJ NT T Y
DEPARTMENT OF BUILDINGS • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L.MANSON,C.B.O.,DIRECTOR DENNIS M.SCOTT,P.E.,DIRECTOR
INVOICE
DATED: April 8, 1991
TO: SIMPSON SANITATION
East 7812 Baldwin Avenue
Spokane, Washington 99212
Please make checks payable and mail to:
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
West 1303 Broadway Avenue
Spokane, Washington 99260
ATTN: Julie Shatto, Building Technician
REF: Sewer Connection Permit Application
DATE PROPERTY ADDRESS FEE
04/08/91 South 1105 Woodlawn/91-1640 $ 50. 00
Amount due and payable $ 50. 00
Pursuant to your request for the above sewer connection permits, we
are issuing an authorization to proceed with construction, however
payment must be received prior to April 18, 1991. Failure to remit
this amount on or before this date will result in a double fee being
assessed.
Thank you for your prompt attention.
CODE ENFORCEMENT DIVISION
WEST 1303 BROADWAY•SPOKANE,WASHINGTON 99260-0550•{509)456-3675
FAX(509)456-4703