1992, 04-10 Permit: 92001406 BathroomSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY: AVENGE
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 speed ied
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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE OF / APPLICATION �/O/oz_
OWNER OR AGENT LV 7i[ DATE TT CC
PROJECT NUMBER= 92002378
ISSUED PERMIT DATE= 04/10/92 PAGE= 01
******** *#***************** PERMIT INFORMATION ****************************
SITE STREET= 623 S BLAKE RD
ADDRESS= SPOKANE WA 99216
PERMIT USE= BATHROOM IN BASEMENT
PARCEL O== 22541-0719
PLATO= 001 669 PLAT NAME= MOORE' .S SURBURBAN HOMES ADD
BLOCK= 3 LOT= 7 ZONE= UR 3.5 DIST4= F
AREA= F/A= F WIDTH= 103 DEPTH= 120 R/W= 50
4 OF BLDGS= 4 DWELLINGS= 1 WATER DIST =
OWNER= SEXTON BILL PHONE== 509 926 0290
STREET= 623 S BLAKE RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= BILL SEXTON PHONE NUMBER= 509 926 0290
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT== NA REAR= NA
*..*.*****************n.*.*..h.*..A.*.*.*..h.
PLUMBING PERMIT *****..*..*.:*********
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE i 25.00
TOILETS 1 6.00
SINKS 1 6,00
SHOWERS 1 6.00
* )F*3*.*..li**** ******.33.33.*.*.*..h..**.*.*..h..***
PAYMENT SUMMARY .*.******
*******************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/110/92 2565 43..00
TOTAL DUE= .00 TOTAL. PAID= 43.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
------_-.------3333......- -- ---------- ------......_.._._........._.._V_...._..__.._.._....._.._...._......_......_
PLUMBING PERMIT 43.00 43.00 .00
43.00 43.00 .00
PROCESSED BY: JULIE. SHATTO
PRINTED BY: JULIE SHATTO
*3'*ii***********..k.*..yi.****)t***131 *3**
THANK YOU
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