1990, 04-18 Permit: 90001445 Plumbing Reversal SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
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
PROJECT NUMBER= 90001445 DATE= 04/1a/90 PAGE=
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EITEST
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SPOKANE WA 992116
PERMIT USE== :I:N'T•i:::F`::I:c:tR PLUMBING ALTERATION FOR SEWER
001844 1='i...r"i ! NAME= OPPt'iF:°'T'1••iN:i:T'i TERRACE 3RD f`t t:)S;
BLOCK= <' y :: 4 Z(ipii'." fjtIrEI..IB D.i. (':,n,::::: (�•.
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 145 R/W=
OWNER== SWI t ZE i:; ROGER PHONE= 509 928 8629
STREET— 12718 i::' AlS ... I i:::,":F:: RD
ADDRESS= SPOKANE WA 99216
CONTACT NAME= CAROL. TOM STO
PHONE NUMBER= 509 928 7711
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR:::: Nr`;
:... ...... .:.:.:.:.).:.•:'::::**X*****:: �.., .. F !... .. ..... .. ... ......
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CONTRACTOR= TOM STONE EXCAVATING PHONE= 509 928 7711
STREET= 't ', 1 ;'' ?'.1 t t`.j{•'?t::.i":99216!"•.D
ADDRESS=.,S��\:::: ,�!"�t.)il:f�'!!'}i.. WA3`2 1 ..
ITEM F:.I"t A!t::.,`4c:i'!'..1.F'r::c.I QUANTITY FEE AMOUNT
•
PROCESSING FEE Y 'lc' 0(')
MISCELLANEOUS 6 , it,
MINIMUM FEE ADJUSTMENT }
k•*4h 9!•It 4t•)!•9!•)!•)t)t•)t)h)?•H:)k*){)t)i••k•)!•)t)L)!-f?•)t 9?••n:•)l•)!• pAymENT �•!...f' "t•7":T )t)F ik)h)h i{•)?•*9i•P-•k•i!•){•P:)L'u•1(•)t p•*:l,..lf.!**.!t i!:4•)t
PAYMENT DATE i'{i::'f F:::i:PT4: PAYMENT Ai'iOl.J'4
04/18/90
S8 :9•, 44 y 00
TOTAL. DUE= ,00 TOTAL PAID= 35 ,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
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PLUMBING PERMIT 35.00 35.00 .00
35,00 :55 .00 ..00
PROCESSED BY :: :.11.11._1:F: EHA•T.T0
PRINTED BY :: 11..1i...:FF: SHA.T....0
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