1987, 06-24 Permit: 87001928 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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 provi 'ons of any state
orr local laws
regulating construction.
SIGNATURE OF
OWNEROOR AGENT 1� (44_- _ APPLICATION
OWDATE
PROJECT NUMBEi';;:::: 87001928
8
DATE=
06/24/87 PAGE= 01
........... - -:O. 1 1 !. s }' j !i• !i it } i! EE n
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SITE s.>TF{.EI::. 1 _.. 15 N CLINTON I-`:1. ? I-' #'} F'`. (.: E #...:,,..... 15544-2306
ADDRESS= SPOKANE WA 99216
PERMIT USE= ;iE!raEI:, HOOK—UP
= irA_t0<ary_PLAT N
=fl= VERA
BLOCK= .) LOT= !} ZONE= i::# 1.x :.i 1..J B i.) I. S 1 .,+: = 1
ARF(:::: 00017200 A:::: 1- I.l....FF).i..1-j:::: DEPTH= R {j =
OWNER= ,::fiX:1;`'i': I...i..)[.l.:;y
5 fit CLINTON i{ t
ADDRESS= SPOKANE WA 99216
6
PHONE= 509 928 2349
CONTACT N`f:.LOUIS . # ! B 7 PHONE N_}:G:509-928-2349
.1:t1..J.1LD:cN(; SETBACKS: FRONT.
RIGHT= REAR=
p)p}jti{Uj)p)j}.jp*}: ? t : ! ' * i L 1 r � I+� I asjSu*}h4.}*3C {tfik :ti ) 4 n} :
CONTRACTOR= OWNER :1„`i:
ITEM DESCRIPTION QUANTITY FEE t`•#MOUN.T.
PROCESSING FEE :). 15.00
00
FLOOR DRAINS 1 4,00
MINIMUM ...:.E #.i!•_IU,.* 1 MEfa 1 1.00
,..p• is :+c :1..* jf i}. it :t?; i+#• * .;i• d;• ii..;{. ;;t• ;t• i!: 1!: i»::4• :r• 1=• * :+r * * ii: -)¢ 1=: �' {..; 't •)+i •f?• �tY t+i :t�. jf..)c :;f• iu• •i� :H: yi.:ti..!!.:tc �{..tl, .;}. i+: �?�: i} •)� �+E ji• ;�: •):; ;x; a:
I ... f't 1-.1�? ( ::• !.. 1'11.1 f•'f i; 'f ..
1'Fi`(1`'1EN..f. DATE E R1::.1..:E:1.I'' 1 :a; PAYMENT AMOUN. 1
06/24/87 .2421 20.00
:: '
TOTAL i,)# # ":' :-?S:? TOTAL 1 t:ji PAID= I,1.... •?}'tr.?.:)+;t
PERMIT TYPE 1-1.A. AMOUNT
AMOUNT PAID AMOUNT OWING
PLUMBING _1;r;1 20.00 20.00 .00
20.00 20.00 .00
PROCESSED : 'f : 1xl 1::.1'''; C) i i... , GLORIA
:j:}fd t : t jP: an:}ji!:t ..y;p.j:yTHANK : 1 jP::*t i!jjt !: ii!i}j::ipjj7t i:j:n
PROJECT NUMBER= 8708192H
~ DATE= 06/24/87 PAGE= Oi
�
»************************** PERMIT INFORMATION ***************************��
SITE STREET- 15 N CLINTON RD PARCELt= 15544-2306
ADDRESS= SPOKANE WA 99216
PERMIT USE= SEWER HOOK-UP
PLATO= 002755 PLAT NAME= VERA
' BLOCK= i LOT= 6 ZONE= AGJUB DI%Tt= F •
AREA= 00017200 F/A= F WIDTH= DEPTH= R./W=
0 OF BLDG%= i t DWELLINGS= i
OWNER= %AXBY, LOUIS
STREET= 15 N CLINTON RD
ADDRESS= SPOKANE WA 99216
PHONE= 509 928 2349
CONTACT NAME= |OUI%•JAXBY PHONE NUMBER= 509-928-2349
BUILDING %ETBACK%: FRONT=
LEFT=
RIGHT= REAR=
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER
PHONE =
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y i5.00
FLOOR DRAINS 1 4.00
MINIMUM FEE ADJUSTMENT Y 'LAO
****»************************ PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
06/24/87 2421 20.00
TOTAL DUE= DUE= .00 TOTAL PAID= 20.00
PERMIT TYPE EEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
PLUMBING PERMIT PERMIT 20.00 20.08 .00
------------- ------------
20.00 20,00 2O.00 .00
PROCESSED BY: WENDEL, GLORIA
******************************** THANK YOU *********************************
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