1992, 03-16 Permit: 92001570 Plumbing ReversalSPOKANE COUNTY DEPARTME NT:OF BUILDINGS
Fl
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 e provisions of any state or local law re • ulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction
SIGNATURE y , , APPLICATION 3 -//
OWNER OR AGENT C DATE CO
PPO. ECT NUMBER= .2001570 ISSUED PERMIT
'%lIl' li. 'H' Yi {t***** *1( R')'. R N..)(..)t..tt.
riti{itt'{ik' PERMIT INFORMATION
SITE STREET- 'az; S. HAMER RDD
ADDRESS= POKANE:: WA 99216
PERMIT USE= PLUMBING REVERSAL
PL.A t= 0027 PLAT NAME= VERA
BLOCK=,-)
LOT= 5 ZONE= HNK 01 DIST1=
AREA= 00000000 F'/A= F WIDTH= DEPTH::
x: iJE HI...DGEn 1 G DWELLINGS= 4. WATER DIST =
DATE= 03/16/ 9— PAGE= 01
.r(..ji..ji. {l..j@ •Pi'R' Fi {f :)t. •ri:)L .p:' rl' * •*
PARCELt 22544-0215
OWNER= DRE:YE::R, WI.L HELM & RUTH ANN PHONE= 509 928 2501
STREET== 909 S HAMER RD
ADDRESS=:: SPOKANE WA 992-16
CONTACT NAME= IWIL.HE:LM ,a. RUTH ANN DRE:YEi:R PHONE NUMBER= 509 928 2501
BUli....D.LINt, SETBACKS: FRONT= 'rJ;'r1 LEFT= N/A RIGHT== N/A REAR= R -AR=:: N/AN/A
****************4 nr iuhl9"ri{nPLUMBING EIM :- *********0.*** *
i{i{o-{hri..x..li.{i.
CONTRACTOR= OWNER PHONE==
ITEM 131E_3_kIF'6ION QUANTITY FEE AMOUNT
------------------------- _______33_33___ ___.._. __......_.._.._._.._
PROCE:SSING FEE Y '5,00
MISCELLANEOUS 1 6400
MINIMUM FEE ADJUSTMENT Y' 4.00
............... . ...3.3 3... * 3333
{i ai�lti li�{ry di�dr1i:u�ii'ri'�n ai w:'�r ar're a'aro or uir#ri I-'11 �Y III::.IJ) Jt.l Cll"I I'{iT ma'rtx's!'aru'de'H'i: dr dr1i'di'{:{i'ir at :�-'k{i )31;33&aiu**
PAYMENT DATE
03/16/92
TOTAL DUE=
PERMIT TYPE:
PLUMBING PERMIT
RE::CE:IPT;i-
1 751
.00 TOTAL PAID
FEE 'MOUNT
35400
35,00
ESSED BY: DOMITROVICH, ROBIN
NTE::D BY: DOMI:1ROVICH, F<C,RIN
{p.y..g.:R..p,. {f 3* {i. {* 33..3''3' ii' k' {i' 9. $,i {i' 3 * 3* {i. {i. {*33.33' #
AMOUNT PAID
35.00
'r O U {*3.* {i. {i. {*.3.
{i THAiNI
PAYMEN1 AMOUNT
35,'0(1
_. .. .............. _..._.l._....
35 . 0 0
AMOUNT OWING
00
.00