1992, 05-05 Permit: 92003080 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W:1303 BROADWAY A ENUE
SPOKANE, WASHINGTON 99260
(509) 456-3673
I certify that I have examined this permit/application, state that the information contained mit 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 REOUIREMENTS/NOTICE
provisions included herein and agree to comply with same All provisions of Taws and ordinances governing this type of work will be complied with whether specified
herein or not l understand that the issuance R ermi/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
giveauthority to w.: - .•cel the prov ionso an st or local law regulating construction. or as a warranty of conformance with the provisions of any state or local
laws regulatin
SIGNATURE • APPLICATION Li (;
OWNER OR AGENT _ DATE — r_S — 7 Z
--
_ PROJECT NUMBER=. 92003080
ISSUED PERMIT DATE= 05/05/92 PAGE= Of
**************************** PERMIT INFORMATION ****************************
SITE STREET= 519 S MCDONALD RD PARCEL$= 22541-0321
ADDRESS= SPOKANE WA 99216
PERMIT USE= INTERIOR PLUMBING REVERSAL FOR SEWER
PLATt= 001808 PLAT NAME= NULPH'S SUB.
BLOCK= 1 LOT= ZONE= AGRI DISH= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
* OF BLDGS= 1 * DWELLINGS= 1 WATER DIST =
OWNER= HAIGHT PHONE=
STREET= 519 S MCDONALD RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= TOM STONE PHONE NUMBER= 509 928 7710
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= TOM STONE EXCAVATING
STREET= PO BOX 14154
ADDRESS= SPOKANE WA 99214
ITEM DESCRIPTION
PHONE= 509 928 7710
QUANTITY FEE AMOUNT
PROCESSING FEE Y
MISCELLANEOUS
MINIMUM FEE ADJUSTMENT Y
1
25.00
6.00
4.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT* PAYMENT AMOUNT
05/05/92 3297 35.00
TOTAL DUE= .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00
35.00
35.00 .00
35.00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU *********************************