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