1992, 02-07 Permit: 92000665 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
!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 REOUIREMENTS/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 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 NUMB E -R= 92000665 ISSUED PERMIT
ed}d}}}}}}}#t i—@}}F } } E h}}—)MIT INFORMATION an* *
DATE= 02/0f/92 PAGE=
.S:I:TE: STr-:E[-:j=- 1710 S PINES Ft I)
ra1)i;REEa>',C::=. SPOKANE WA 99 '':)•%
PERMIT USE= PLUMBING FOR SEWER CONNECTION
X It
F ARCE I..O- 28541-0i06
PLATO= 0011220 PLAT NAME= HILL_CRE::ST PARK ADD
BLOCK= i LOT= 6 ZONE= ,SFR
c;F•:r-.A== 00000000 P/A== F WIDTH= Di:E1'T'ri=
i'r OF BLD%S= i v: DWEL..L_INGS=: i WATER DIST =-
OWNER= DANIEL, ROMA
STREET= 1710 S PINES RD
ADDRESS= SPOKANE WA 9` 20
CONTACT NAME= COURCI-IAINE: EXCAVATION
F'i-40NE=
PHONE NUMBER= 509 9 4 5455
BUILDING SETBACKS: FRONT= N/A i_EYT= N/A RIGHT= N/A REAR`':: N/A
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CONTRACTOR= COLJRCI-IA:F.NE CONSTRUCT ON
.CT REE_T::= 1640:5 F:. \+A I._I...E:.YlWAY
ADDRESS := 'ti - RADAL_I::. W -i 99037
PHONE: :'.11119 924 5485
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE Y :75.00
MISCELLANEOUS 1 6.00
i•MINI`t'tJM FEE ADJUSTMENT Y 4.00
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I".1111 .LP J ! f9 'tiT}l'k'}k}k±u}}}:'AlF'ii'k'****************;":k
PAYMENT DATE::
02/07/92
TOTAL DUE::::
PERMIT TYPE
PLUMPING FERMIT
REECEIPT8 PAYMENT AiM1OUNT.
,,;:>, ,00
.00 TOTAL PAID= 35.00
r -EE AMOUNT AMOUNT PAID AMOUNT OWING
35.00 35.00 .00
35,00 35.00 , 00
PROCESSED BY DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
. ... ---
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