1992, 10-09 Permit: 92008667 Plumbing Reversal SPOKANE COUNTY DEPARTMENT OF BUILDINGS
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 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
,••.r•.r•. .-•- NUMBER= 9 } ii86"_ ISSUED PERMIT l 3fiT£::== 10/09/92 PAGE= 01
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n•i,:n•�•3:r� �•n**ii•i':•ri•***a!•it it h*3r**ii*ii PERMIT INFORMATION •ir i!•m*x*x**ar*•u•*•rr it•r••u'it•n**•x••N•*•'r.••r;*x
SITE STREET= »v r. r : rRAYMOND
ATMOND IPA?C1Eqc45294 .0809
ADDRESS= SPOKANE WA 99206
PERMIT USE= PLUMBING REVERSAL
I L..r"tl:;= 000376. i=°i...r•iT NArIC.::: CHESTER HILLS HEIGHTS
BLOCK= ALOT= _ ZONE= A G ;I. i i t •.n._.
AREA= 00000000)4)!',),`} I`/A= F WIDTH= DEPTH= I•./til:::: 50
4 OF BL„IiCrSc:: t ro: DWELLINGS=: I WATER DIST =
OWNER= COOPER F'i'IONF.== 509 922 7256
STREET=!:::: "h01 1 S RAYMOND CT
�:: SPOKANEWA 99206 q
CONTACT NAME= C;ikURC•HA.I:N£' EXCAVATION PHONE NUMBER'. 509 924 5485
BUILDING SETBACKS : FRONT:::: N/A L_EI=T::: N/A RIGHT= N/A REAR== N/A
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CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 54't,-5
STREET= 16402 £:: VALLEYWAY
ADDRESS= V ERADAL_E. WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE
MISCELLANEOUS 6.00
MINIMUM FEE: ADJUSTMENT Y 4.00
ri•i}:*******K•9i:*••;k********•* **3E** PAYMENT SUMMARY rMnixre*irftts
iin***u***i *i �r:�:
PAYMENT DATE £ ECE I PT';: PAYMENT AMOUNT
10/09/92 881 5 35.00
TOTAL Al. DUE.:=' .00 TOTAL AL I"'A I:!,::- 35 ,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMI. ( 35.00 5.;0,',•) ,00
M1.).:kft)? j.:tn.1 .,00
PROCESSED BY : DOMITRO ICH , ROBIN
PRINTED BY : I)OMI:TROti I:CH, ROBIN
****.K*************************** THANK
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