1992, 03-06 Permit: 92001280 Plumbing FixturesSPOKANE COUNTY DE FITMENT OF BUILDINGS
W. 1303 BROA WAY 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 comphed with whether speed led
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, oras a warranty of conformance with the provisions of any state or local
laws regulatin. —
SIGNATU'/
OWNER OR AGENT
PROJECT NUMBER= 920012:8
*******"*******
APPLICATION 3lq.Z
DATE L
ISSUED PERMIT DATE= 0:3/06/92 PAGE= 01
PERMIT INFORMATION ******
SITE STREET= 1623 S PINES RD PARCELO= 27542-1033
ADDRESS=. SPOKANE WA 99206
PERMIT USE= SHOWER, TOILET, & SINK (IN CONJUNCTION WITH CONNECTION TO SE
PLATO= 001220 PLAT NAME= HILLCREST PARK ADD
BLOCK= 4 LOT= 304 ZONE= AGSLJB DISTm= F
AREA= 00009000 E/A= F WIDTH= 90 DEPTH= 100 R/W::=
m OF BLDGS= 0 DWEL..LINGS= WATER DIST =
OWNER= LOWELL, MICHELLE PHONE== 509 926 6144
STREET= 1623 S PINES RD
ADDRESS= SPOKANE:. WA 99206
CONTACT NAME= TOM STONE EXCAVATION PHONE NUMBER= 509 928 7710
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** PLUHBING PERMIT **..*.****•******-*****************
CONTRACTOR= TOM STONE EXCAVATING
STREET= PO BOX 14154
ADDRESS= SPOKANE WA 99214
PHONE= 509 928 7710
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
TOILETS 1 6.00
SINKS 1 6.00
SHOWERS 1 6.00
PAYMENT SUMMARY **..u.
PAYMENT DATE RECEIPT. PAYMENT AMOUNT
03/06/921507 43.00
TOTAL DUE= .00 TOTAL PAID= 43.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 4:3.00 43.00 .00
43.00 43.00 .00
PROCESSED BY: DOMITRO'VICH, ROBIN
PRINTE_ID BY: FORRY, JEFF
******************************** THANK
YOU