1991, 12-03 Permit: 91008321 Lawn SprinklerR
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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/ap • lication is true
and correct, and authorize Spokane County to proceed with processing In addition, I have read and understand the INSPECTION REOUIREM NTS/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 w ether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not • e construed to
give authority to violate or cancel the provisions of anyystate odocal lawregulating construction, oras a warrantyof conformance with the provisions of a y state or local
laws regulating construction. ' •
SIGNATURE OF . APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91008321'
ISSUF_D PERMIT
DATE= 12/03/91 PAGE= Of
****************************.PERMIT -INFORMATION ****************** *********
PARCEL: 09542-0799
-SITE STREET= 11115 E GRACE AVE
ADDRESS= SPOKANE WA 99206
PERMIT USE= LAWN SPRINKLER
- PLAT -4=-000767 .'PLAT NAME= FAIRACRES
BLOCK= " - - -LOT= - ZONE= UNK DISTO=
- AREA= -- • F/A= F --'WIDTH= ; DEPTH= R/W=
OF•BLDGS= A 4 DWELLINGS= 1- - WATER DIST =
OWNER GARCIA GLENDA' ' PHONE= 509 924 1 540
STREET= 11115 E GRACE AVE'
ADDRESS= SPOKANE WA ,
CONTACT NAME= GLENDA GARCIA PHONE NUMBER= 509 924 1540
BUILDING SETBACKS-: FRONT= N/A LEFT=,N/A .RIGHT=.N/Ai REAR= N/A '
•***************************** PLUMBING -PERMIT ******************* **********
CONTRACTOR= OWNER. - - PHONE=
ITEM DESCRIPTION QUANTITY . FEE_ AMOUNT
----PROCESSING-FEE Y`' - 25:00
-LAWN SPRKLER- PER BACKFLOW -- • . - 1 - 6.00 -
MINIMUM FEE.ADJUSTMENT M. 4.00 - --
***************************4**** PAYMENT SUMMARY *******1********4i*-* *** ***#'
-PAYMENT DATE. RECEIPT: • PAYMENT AMOUNT
12/03/9c 9153 s 35.00
TOTAL DUE=- - -.00 TOTAL PAID=- 35:00
:-
PERMIT'TYPE:. :FEE. AMOUNT . AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT
35.00 35.00 .00•
• 35.00 - - 35.00- .00
.
PROCESSED BY': DOMITROVICH,_ROBIN -
PRINTED BY: DOMITROVICH, ROBIN
******************************** THANK YOU ********************** **********
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