1991, 11-01 Permit: 91006334 Sewer SPOKANE COUNTY WEPARTMENT 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, andauthorize Sko County to proceed with processing. In addition, I have reaand understandme /wapeormwnsoumswswTSuwor/os
provisions included herein and agree to comth same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein o,not./understand that the issuance mthis permit/application unuunvouusevuontma»ov/onu»nm, ls 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
PROJECT NUMBER= 91006334 ISSUED PERMIT DATE= 11 /01 /91 PACE= O^
**************************** PERMIT INFORMATION ****************************
�ITE %TREET= iO51i E 91H AVE PARCEL4= 20544-0216
ADDRESS- SPOKANE WA 99206
PERMIT U%E= %EWER CONNECTION - ULID 8802
*** SEE NOTE ***
PLAT�= OO2704 PLAT NAME= UNIVER%ITY PLACE
BLOCK= 2 LOT= iO ZGNE=
AREA= 00008000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDC%= i 4 DWELLINGS- i WATEk DISI =
OWNER= RAY L PHONE=
STREET- 10511 E 9TH AVE
ADDRE%%= PGKANE WA 99206
CONTACT NAME= %IMP%ON PHONE NUM�ER= 5O9 926 478i
BUILDIN17:: %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** %EWER PERMIT ******************************
CONTRACTOR- %IMP%ON SANITATION PHONE= 509 926 473^
STREET= 7812 E BALDWIN AVE
ADDRESS= SPOKANE WA 99212
ITEM DE%CRIPTION QUANTITY FEE AMG!/NT
------------------------- -------- ----------
PROCE%%IN� FEE Y
10 . 0
%EWER CONNECTION i 4O6)0
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
11 /01 /91 8257 50 . 00
TOTAL DUE-DUE= . 00 TOTAL PAID= 50 . D0
PERMIT TYPE FEE AMGUNT AMOUNT PAID AMOUNT OWINC
--------------- ------------- ------------EWER 1::!E PERMIT 5O . 00 50 .00
------------- ------------ ------ ---
5O. 00 50 . 00
PROCESSED BY : JULIE %HATTG
PRINTED BY : JULIE %HATTO
SEWER STUB A%-BUILT INFORMATION I% AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT ( 456-3604 )
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, CAS PIPINC , WATER LINES, FCT ,
CALi- BEFORE YOU DIC ( 45 -3OOO )
SEWER STUBS ARE TO 'BE CHECKED PRIOR T; CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEwER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE RET. i/TPED **********
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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: October 1, 1991
TO: Simpson Sanitation
East 7812 Baldwin
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
10/01/91 East 10511 9th./91-6334 $ 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 October 11, 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.
is
CODE ENFORCEMENT DIVISION
WEST 1303 BROADWAY•SPOKANE,WASHINGTON 99260-0550•(509)456-3675
FAX(509)456-4703