1992, 05-13 Permit: 92003352 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303JBROADWAY AVENUE
SPQXANE,'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 perm it/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 01 work will be complied with whether specified
herein or not I understand that the issuanceotthis 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 APPLICATION
OWNER OR AGENT DATE
F:Iio.)E't:;; NUMBER::
***************ft
SITE:: STREET= 1 E31 `_S S HAME:R RD
ADDRESS= SF'flr:ANE WA 992.16
ISSUED PERMIT
DAEE'= 0E'
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PERMIT I dM.E_+******A Hdf drt}ji}x
PERMIT USE= PLUMBING REVERSAL
BLOCK=
AREA=
OF BL..DGS'=
OWNER=
STREET=
ADDRESS=:
002717 PLAT NAME::: VALI EY HEI.
1
LOT i ZONE=
00000000 F/A:::, i:r WIDTH=
DWELLINGS= 1 !AiAT
't.1PHLLT RALPH
1815 S HAI`iER RD
SPOKANE WA 99216
CONTACT NAME.:-=: C:C1 ROMAINE EXCAVATION
BUILDING SETBACKS. FRONT N/A EFT:- N/A
PARCEL..4 = 27541-1346
HT',' ADD
AGS{.1T:+
100 DEPTH=
R DIST :=
PHONE.
141 sir`{!:::: _';;
PHONE. NUMBc::R=: 509 924 `;rias
RIGHT=: N/A RE.AR:::. N/A
.x.}i.}b....u..h.}i.}(.}(.}(. PLUMBING B:(.I.NI-r PI:::Eii"i1:1 .N.
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET‘, 16402 E VALLEYWAY
ADDRESS= 'V L_RADAi_E WA 99037
ITEM DESCRIPTION QUANTITY
PROCESSING FEE Y
MI:S'C;i=.i...i._?Nisi
illIN]:MUM i E::E:: ADJUSTMI:-N1 `r
}t#*#}c#**3e }f }fie}e *ie}e dr ie}e}e }i. }i..x.*}(. *ie;i..p:..x. PAYMENT 5.711 i"IAi'iY vr sr * u;
dex*ie}@}e. L: b:?i u..ii }i. Pdeie k lr :.pi
PHONE:: 509 924 5485
FEE Ai"t iUNT
PAYMENT DATE
05/13/92
TOTAL DUEE:::
PERMIT TYPE FEE
PLUMBING PERMIT
RECE::IPTO
3553
.00 TCTAt
AMOUNT AMOUNT
35,00
7.5.00
PAID
A 1: D
i,(1
00
PROCESSED BY DOMITROVICH, ROBIN
PRINTED BY: D0i"i:i:TROVICH, ROBIN
*0**********)(**********)(x**** Tu NR YOu if}i**gi
PAYMENT AMOUNT
35.00
00
35,00
AMOUNT OW:i:N[.
.00
.00
e