1990, 09-10 Permit App: 90004479 Plumbing AlterationSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
r
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.a 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
OWNER OR AGENT DATE
APPLICATION
A= F
113 i••1 r i.. i... RD
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is H; , .. 509 92P
PEAR- NA
...........................................................
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PLUMBING PERMIT APPLICATION FORM r
Information Worksheet
JOB STREET ADDRESS:
CITY/STATE/ZIP: PARCEL NUMBER:
OWNER:
MAILING ADDRESS:
CONTRACTOR:
SY,(11JP HONE NUMBER:
I �WA6e
(Street)
(City/State) (Zip)
LICENSE NUMBER:
PHONE NUMBER:
MAILING ADDRESS:'
(Street),.; (City/State) (Zip)
PLUMBING WORKSHEET/FEE SCHEDULE
DESCRIPTI
= AMOUNT
TOILETS.
SINKS
SHOWERS,'.
BATH x,TU
KITCHENOSINi
DISH;WASHER$
GARBAGE4DISPOS
CLOTHE5;eWASHER
UTILITY'' SINKS.
ELECTRICraWATER
FLOOR' DRAINS,
-FLOOR'SINKS
BAR SINKS -,I
ROOF... DRAINS
LAWN SPRINKLER
SEWAGEsEJECTOR'
WATER SOFTENER`:
URINAL.:
DRINKING FOUNTAIN•
x $6.00 =
x 6.00
x, 6.00 =
.00
.oI_
6.`,:0
.00.=
6.00 =
x 6.00•.=
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
x 6.00 =
NOTE: MINIMUM PERMIT FEE"IS,$35.00
SIGNATURE
SUBTOTAL
PLUS: PROCESSING FEE
+ $ 25.00
EQUALS: TOTAL PERMIT
FEE DUE = $ at"
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
DEPARTMENT OF BUILDING AND SAFETY • A DIVISION OF THE PUBLIC WORKS DEPARTMENT
JAMES L. MANSON, DIRECTOR DENNIS M. SCOTT, DIRECTOR
September 10, 1990
U.S. Bancorp
Attn: Bob Boyer
RE: Interior Alterations of Plumbing for Sewer Connection
Dear Mr. Boyer:
Please be advised that on September 10, 1990, a final inspection
was made and approved for the plumbing alterations at the address
listed below:
Address: North 113 Mc Cabe Road
Property Owner:
Contractor: Tom Stone Excavating
Parcel Number: 15544-2608
Permit#/use: Interior Alterations of Plumbing for Sewer
Connection
Should you have any further questions, please contact this office
between the hours of 8:00 a.m. and 4:00 p.m., weekdays.
Sincerely, �.
N.Z1 0_ 1 '\,Vn4
Faith Hint
Office Assists
fmh
WEST 1303 BROADWAY • SPOKANE,WASHINGTON 99260-0050 • (509)456-3675
FAX (509) 456-4703