1992, 12-08 Permit: 92010775 Plumbing ReversalSPOKANE COUNTYDEPARTMENT 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= 92010775 ISSUED PERMIT
DATE= 12/08/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 714 S GLENN RD PARCEL.4= 45212.1 356
ADDRESS= SPOKANE WA 99206
PERMIT USE:= PLUMBING REVERSAL
PLAT= 001827 PLAT NAME= OLD ORCHARD SUB
BLOCK= 4 LOT= 16 ZONE= AGSUB DI T4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W::=
4 OF BLDC,S= i 4 DWELLINGS= 1 WATER DIST =
OWNER= ANSLE..Y PHONE=
STREET= 714 S GLENN RI)
ADDRESS= SPOKANE WA 99206
CONTACT NAME= H & S CONSTRUCTION PHONE NUMBER= 509 926 8964
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******3********************** PL..W1}1ING PERHIT **************** ****x**** ***
CONTRACTOR= 11 & S CONSTRUCTION
STREET= 11817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION
PHONE= 509 926 8964
QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
MISCELLANEOUS 1 6.00
MINIMUM FEE ADJUSTMENT Y 4.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT: PAYMENT AMOUNT
12/08/92 /08/92 1059 35.00
TOTAL DUE= .00 TOTAL PA:ED= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35,00 35.00 .00
35,00
;5 , 00 315.00 00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
******************************** THANK YOU *********************************