1991, 07-05 Permit: 91003995 SprinklerSPOKANE'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. 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= 0063995 ISSUED PERMIT DATE= 07/05/91 PAGE= Oi
INFORMATION
SITES STREET= 11811 E: EMPIRE AVE- PARCE:LO = 04544-0263
ADDRESS= SPOKANE WA 99206
PE::RJT USE:•= LAWN! SPRINKLER_"
PLATO= 003022" PLAT NAME= i ST 'ADD TO 'GRAND -VIEW ACRES' _
BLOCK- 3 . LOT, 30ONE=:: U030 DI ST M:=: -- F-
ARE"A= FFA= F WIDTH= 128 DEPTH= :.320 .RiW=:
0. OF, BLDCS- 2 0 DWELLINGS= i WATER (DIST. =: TRVINf
OWNER=: THORESON, SHARIN! DUANlE PHONE= 509 922.0727
-STREET= 11811 E EMPIRE AVE
ADDRESS= SPOKANE WA 99206
CONtTACT WE= SHARINI' THORE:SON PHONlEr. NlUMBE"R= •509 922 0722
BUILDING SETBACKS-: FRONT= NA-LE".1=TI -N!A RIGHT== NA REAR= NA,
PLUMBING -PERMIT
CONTRACTOR= OWNER _ i= koNIE.
`
ITEM DE:SCRIPTI:ON! 'QUANTITY' E:E::E: AMOUNT,
:.
PROCESSING FEE Y 25, 00
LAWN SPRKLE"R PER BACKFLOW_ i 600
MINIMUM FEEADJUSTME=HJT Y 4.00
*****>f*A*at*wat•****,*** *****•> ***-PAYMENfT :SUMMARY �a��xaa�i�a;�����ae�xa��ai�x�atain3eath
PAYMENT DATE REiCEIPTO . PAYMENT'AMOUNT
0'710 5i 91 4425 '35.00
TOTAL. DUE= _ .00 TOTAL_ PAID=35.00 •
PE RMIP TYPE:: - - ZFE"E AMOUNT AMOUNT PAID- AMOUNIT'OWI:NG
f'I...IJ fEf l NlC;, f'E"FSM I T 35.06.... AM. 00
__-_w_.._..._-_---------
3%00- 35.00 .00 .
PROCEYSSED BY: WE:NIDFL,.:.OLORIA
PR-INl7E:P BY.:, WE::N?DE::L,.,. GLORIA_
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