1990, 03-23 Permit: 90000811 Plumbing FixturesSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
NUMBER= ':'t?:!E•: t:!t:J. a11
PERMIT
SITE —REF 19 E FORRFST.AVE
PERMIT USE= INTERIOR PLUMBING ALTERATION FOR SEWER
;Et`i±'j'r":::: i:), ,, PAGE= 01
.:,,: !t' ji- 9?= L !l• 1,: 9t• 1?• U: 1i• 3i• f{• it Jl• 1t !?' !;: !fi ? A:
PARCEL4= 27542-1928
f... !• ± , .F,....' 001846 PLAT , •. f•E : ! {...::.:E _..: I ,.. { t TERRACE i y ADD
AR'',Er.;00000000 .:'t:•±:::: F WIDTH= H:::: •{ ?•)t,;! DEPTH= 136 R•;/W=
OWNER= : #.. )• ' J kt.. " t`CMRS PHONE= 509 924 :::
1
AVE
t , ,
PHONE NUMBER= 509 926 8964
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CONTRA
41..1:i R
E VA
,K NE Wt'
TiLM DESCRIPTION
Tc'ING FEE
F i{':ER::.(il,#S
ON
A V E
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i^•`..::. i., `i::. a. F: ± ;i• PAYMENT AMOUNT
1291 35,00
FEE E... f:11''O ..i'•. AMOUNT PAID AMOUNT E.. W #'• #::'r
35,00 35,00
35,00 35,00 ,00
PAYMENT r)ATE
03/23/90
TOTAL DUE=
PERMIT TYPE
PLUMBING PERMIT
PHONE= 509 926 0964
FEE AMOUNT
25,00
SHATTfl
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