1992, 08-04 Permit: 92006024 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 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
PROJECT NUMBER= 92006024
ISSUED PERMIT DATE:: 08/04/92 PAGE= (:}.1
'*'**ri****************3******* PERMIT INFORMATION **•}t•*********************••9i YF:R
SITE STREET= 1622 S CLINTON ST PARCEL.'4FM: 452:1.1904
ADDRESS= SPOKANE WA 99216
PERMIT USE= PLUMBING REVERSAL
PLATO= 001841 PLAT NAMEE:::: OPPORTUNITY TERRACE.
BLOCK= 5 LOT= 4 ZONE= :: UR 1.' fl].. f 4 ^' i.
AREA= F A::= f:. WIDTH= 87 DEPTH= 140 I,,/•W= 50
N: Cil_. IiLDGS=: . DWELLINGS= '1 WATER DIET =
OWNER= FtA SK1'.1._L.. , JAMES PHONE= 509 924 2679
STREET- 1622 CLINTON ,>T
ADDRESS= SPOKANE WA 99216
CONTACT NAME=: COURCHAINE: EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT:::: N/A LEFT-: N/A RIGHT= N/A REAR:: N/A
•M•*3i•*3t*k3t*3t3i)t3t3t3t: 3t3i•3+:*3t*3t •3i•**3t* pLumBING F'E:.RMI r***aii*3t3t*3;•*#r••n'**ii3t*3;•*3':3i•*ii3+i*3tit•**
CONTRACTOR=: COURCHAINE CONSTRUCTION
STREET= 16402 E VAL_1. E:: YWAY
ADDRESS= VE:RADAL_E WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT.
----------
PROCESSING FE.E:. Y' 25,..00
MISCELLANEOUS 6.00
MINIMUM FEF: ADJUSTMENT 4.:00
PHONE= 509 924 5485
* r * x ! #. 3t 3t # 3t k * 3t it 3r 3t 3t ie ie it #* PAYMENT
SUMMARY
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PAYMENT DATE RECEIPT : PAYMENT AMOUNT
08/04;`92 6 1 1 4 35.00
TOTAL i A1... DUE.... .00 TOTAL I
PERMIT TYPE: FEE.': AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 5:oo 35.:c0 AO
35A0 snl..)Av AO
ROBIN
ROBIN
PROCESSED BY: DOM:r. T ROV ICH ,
f'•'pI.NTED BY: DOrIITROVI.1,H;
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