1992, 04-14 Permit: 92002282 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKAI4 , 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 REOUIREMENTS/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 l 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
PROJECT NUMBER= 92002282
ISSUED PERMIT
DATE== 04/1'4% 92 PAGE= 01
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SITE STREET= 615 S BLAKE RD
ADDRESS= SPOKANE WA 9921.6
PERMIT USE= PLUMBING REVERSAL
PARCELO— 2541 0
PLAT= 001669 PLAT NAME= MOORE' S SURa'3URBAN HOMES ADD
BLOCK= 3 LOT= 6 7.ONE= UR 3.5 DISH= 'r'
AREA= 00000000 F/A= F WIDTH= DEPTH=
OF BLDGS== 1 P DWELLINGS= 1 WATER DIST
OWNER= JJENSEN
STREET= 615 S BLAKE RD
ADDRESS= SPOKANE WA 992i6
PHONE:' -
50
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 97 (' 6760
BUILDING SETBACKS. FRONT N/A LEFT= N/A RIGHT= N/A REAR= N/A
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CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
ITEM DESCRIPTION
PROCESSING FE::E:
MISCELLANEOUS
MINIMUM FEE ADJUSTMENT
QUANTITY
Y'
Y
PHONE== 509 927 6760
FEE: AMOUNT
25.00
6.00
4.00
* )** 3f ii':ri'u'3e:,eii'ik k"*ii'=tk ii)i')i'di'vi'x3 ii'****)i** PAYMENT S_ - it *******• * eii'ir.
riiE3
PAYMENT DATE RE::CEIPT'n. PAYMENT AMOUNT
04/14/92 2676 35.00
TOTAL DUE-=
.00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT
PROCESSED D BY
PRINTED BY
35.00 35,00 „00
35.00 35.00 .109
DOM.LTROVICH, ROBIN
DOMITROV1CH, ROBIN
****X******** A' it x"iki{.a'#.1i':rt'.1i")i'{i")i':ri'.)i"55i(' THANK YOU
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