Loading...
1991, 10-02 Permit: 91005583 Sewer SPOKANE COUNTY' DEPARTMENT OF BUILDINGS W. 1363 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 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 I.: R5,:JEC7 NUMBER= PERMIT DATE= 10/02./1. FERMIT INFORMATION :ij.:: :3:. ,:. ::, SITE . STREET., 17,418 E 14TH AVE PARCEL4= 22544-2454 ADDRESS= SPOVANE WA 99216 PERMIT T:i:E= SEWER CONNECTION WOLECREET PLAT4,- 0027'5":.S PLAT NAME= VERA BLOCK= :... ADDRESS= 4 LOT= 54 'ZONE= EER DIETO= OWNER= Mr-.r.RK. TMER: SANDRA PHONE= 509 922 6617, CONTACT NAME= SIMPSON SANITATION PHONE NUMBER= 501 926 47C1 ii• ADDRESS= PROCESSING FEE • • SEWER CONNECTION ELEVATION AND POSITION PAYMENT DATE RECEIPT4 10/02/91 7251 50 „ 0D TOrIAL DUE= ,00 TOTAL PAID,, PERMIT TYPE , AMUONi PAID AMOUNT OWING SEWER PERMIT 50 ,00 50 , 00 PROCESSED BY , JULIE EHATTO CONTRACTOR OR APPLICANT IE TI:J FIELD LOCATE AND CONFIP THE OF SEWER STUB PRIOP TO ANY OTHER EXCAVATION INVOICE DATED: September 18, 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 09/18/91 Fast 13418 14th./91-5583 $ 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 September 28, 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