1992, 04-10 Permit: 92002399 Plumbing FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANi, WASHINGTON 99260
(50) 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE/"/ APPLICATION
OWNER OR AGENT �'ls-�-� I �� i���---CCC DATE /
PROJECT NUMBER= 92002399 ISSUED PE.:EtfiIT DATE= ,: 4r` -i0 ;'2 PAGE= Oi
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PERMIT I:NI'ORMATION �' it k• 3i' ii' 'ir: ie• ii• 3r it r:' it 'it' �' i?• i?• ie )i• R• ii• :�i- ri- it i� �r 'ii' ie- 3�:
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ADDRESS=
SPOKANE WA 99206
PERMIT USE=
INSTALL PLUMBING FIXTURES
IN BASEMENT
PLATO=
OOOi76 PLAT NAME=
BENSON'S SUB.
BLOCK=
4 LOT=
3 ZONE= UR
ARE-r"t:::
00004101' 0�+ 1=%r:t::::
i" WI.!)t�l• =
DEPTH= I�`.; W::::
WELLINGS=
WATER DIST
4=
OWNER=
FRIEDMAN, DONNA
PHONE=
509 928 540'','
STREET=
1614 I<.Ei. LE: R RD
ADDRESS=
SPOKANE WA 99206
CONTACT NAME=
DONNA M. r RI.E:.x,MAN;.:.I;
jY.lE
NUMBER= 509 - 2". 5407
� .
BUILDING SETBACKS:
FRONT= P�! r` -t LEFT=
i �1 ra RIGHT= ra (�
REAR= ra r`j
:.
-A: �: R ie •k• •k• �: •ii •1+• �• 9{• •R �P: •A •)t:•
i�• •H 'h• •R• P• •P: A •b: 1# �: •R• •�: �k �P•PLUMBING
PERMIT
CONTRACTOR=
OWNER
PHONE=
=
ITEM
DESCRIPTION
QUANTITY TI:TY
FE:E:: AMOUNT'
PROC:E.:
SSI:NG FEE
Y
a''::,:.0k'.)
TOILETS
i�
,,)
.SINKS
.I
6. 00
SHOWERS
.t
6.0()
PAYMENT SUMMAt;.r •)k •ii 'R• •P: 7L 'P: •N: 'N: 'A' $: �l P: 7{ 9l -�: 'N: '?: •b:.P• .K..l�..t,..p...�i..,�: 'P:.j,:.j�.
PAYMENT NT r)ATE: RECE I:I''TO PAYMENT AMC3R.IN
-------------
TCiTAi_. DUE:.:::: ..00 TOTAL ItA.T.D= 43.00
j0
PERMIT TYPE:: FEE AMt:rI.INT AMOUNT PAID AitOi..iNT OWING
PLUMBING PERMIT 43.0() 43.00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
THANK
................
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