1992, 04-14 Permit: 92002492 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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. 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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92002492
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ISSUED PERMIT DATE= 04/14/92 PAGE:::: 01
i' PERMIT INFORMATION )i.{i :A..k.
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SITE. STREET== 1719 PINE::S RD PARCEL_.- 27542-1143
ADDRESS= SPOKANE WA 99206
PERMIT USE= PLUMBING REVERSAL
--PLATO= 001220 PLAT NAME= HILL.CREST PARK ADD
BLOCK= 5 LOT== 9 ZONE= UR 3.5 DISTm==
AREA= F/A:= WIDTH= DEPTH=
: OF BLDG' g DWELLINGS= i WATER DIST =
OWNER= DANIEL., DAVID
STREET= 1719 SPINES RD
ADDRESS== SPOKANE WA 99206
PHONE=
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 974 5405
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
)i.ti')i'ii..tt..ur:)i.*ri..ii.)iiriiri'diir)iii'iiie)i*#tt'*.ii.di')i. FLUMBI NG PERMIT .ik)kik.H')t.)k)k.lk'it.)k.M'R.'A.•'N'9kR'3la'H'H')k'9: 'hIt'9:H'l'N: 'It"!t
CONTRACTOR= COURCHAINE CONSTRUCTION
STREET= 16402 H VALLEYWAY
ADDRESS= VERADAi...E. WA 99037
PHONE= 509 924 548
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 'i 25.00
MISCELLANEOUS 1 6.000
MINIMUM FEE ADJUSTMENT Y 4.00
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PAYMENT DATE: REi:CE:7:PTO PAYMENT AMOUNT.
04/14/92 2673 35.00
TOTAL DUE= .00 TOTAL PAID= :55.00
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' DOIMITROVICH, ROBIN
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