1992, 07-21 Permit: 92005559 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE -
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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 o laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issua .fth' permit/application an. 4, y subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the p . . .f any stat local law lating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF / APPLICATION J-2 / .---
PROJECT
%
OWNER OR AGENT :/i I��I DATE (
PLt t. ti•'t.1 NUMBE1•{.... 200555 ISSUED ,: Ui: D F -':::.RM i,
DATE= 07/21/92 PAGE= '.! •i
::.: t : •.:, :: •.: '.: t :, t a:.::::.::.: '.:, •. • •.: •.:,:.::. x . ,:: i.i.::.: (.:,i.: 5.: M '" { # : " - t' "i .1_i!i 9t' 9t' . Pi $`i j!; 'Ni :,k.!i a ••, •i!r .. i•`. * ::. }e. r!...}i.:}:• );• i!.. ;.
}., n, e! ,.r. R. !t }! :t ,.. }. 7�. 1, R ,e �r A. „ 7•. ,. 7. 7. ,... )•. 7... 7. r' i' {;;. i .: ± .1. i �. i't i" ._ ..! ±!••± 'F .!....
SITE
WA;OWE,'
!...i:Mi i t.}:•9::::::: PLUMBING REVERSAL
a y 001393
i^:3 "L4i NAME= „_: .;WNi1 1
.<:y9
PARCEL4- 45283,4903
WATER DIST -
PHONE= 509 922
2879
R//W= ,'}ii
NAME=
•,,
•+PHONE t!i'i509 922 2079
D11
`3 .` t•i LEFT- N + 't RIGHT= i = ...' (Ae REAR=
a •.: '.. i.: i. ai..y,:: i.: i. ;i..t:.:;i.:,i. ::,,:: i.:! •..:i..} •.. i.: ,:: i.: i.: (..P. t,k .i:.G i!!r .!i 1 t`'. 1•; ... i , • i'; i"t 3 . .$ 'Ai .4 'Pi i4• * .Fi 'P: •Ai .!i •.t .!r . ii .;• .Fi a.....},r .}i..• a }i• A ±i :'y X }i }
:+. A. }. 1..... 7. ).:.......:t .. )..t ...t }. 7. 7. 7. 7. .. 1' � 1... i........1...... ! !.......... .
CONTRACTOR= OWNER
ITEM DESCRIPTION
(i#"tt::.t,t) FEE ADjUSTMENT
.!t..!-:':
QUANTITY
PHONE"' AMOUNT
25.00
4.00
***:***********,,f:************* p f-2 i 1"1 {::. i`v 1 ,i. u i"t :'t (.a ht; 7 .ri. .),i '}t. :},; :)r,. •jijk a iuj :!r t(' :e:i •ik 9!..n.:)t. K.,,. :)k i,>r 3,r . ?. 9t. h. 7t 9t :nr
PRor
DOMITR
PAYMENT DATE
07/21/92
TOTAL DUE=
:
PERMIT TYPE
PLUMBING PERMIT
RECEIPTO PAYMENT AMOUNT
35,00
,00 TOTAL PAID- 35.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
35.00 35.00 .00
35,00 35.00 .00
DOMITRr
RIIBTN
.? ak iPk. ..e.fi.i i *.:i.ja:),; tiG ufiN.THANK i _ ; ..i H.i3(i.i . i i n i .k i iatai iXo
1 n