1992, 09-21 Permit: 92007856 Plumbing Reversal - - 7,A
********* 456-3604 **********
*****************tottikANE two, ' � dr********************
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 permit/applicationis true
and correctand authorize Spokane Conty to proceed with processing. In addition, I have reaand understandmo 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
SIGNATURE OF APPLICATION
OWNER ORAGENT DATE
VOID
1
PROJECT NUMBER= 92007856 I%%UED PERMIT DATE= 09/2i /92 PAGE= Oi
************************ *** PERMIT INFORMATION ****************************
%ITE STREET= 2608 % %KIPWORTH RD PARCEL4= 45283.3404
ADDRESS= SPOKANE WA 99206
PERMIT USE= PLUMBING REVERSAL
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 34 LOT= 2 ZONE= UR3.5 DI%TO=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= i 0 DWELLINGS= WATER DIET =
OWNER= HESE PHONE= 509 928 1076
STREET= 2608 % %KIPWORTH RD
ADDREJ= SPOKANE WA 99206
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
PROCE%%ING FEE Y 25.00
MISCELLANEOUS i 6.00
MINIMUM FEE ADJUSTMENT Y 4.00
***** ************************ PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTP PAYMENT AMOUNT
09/21 /92 7986 35.00
------------
TOT AL DUE= .00 TOTAL PAID= 35 .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
PLUMBING PERMIT 35.00 35.00 .00
------------- ------------ -----------
35.00 35.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************
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