1991, 11-05 Permit: 91007551 Water SoftenerSPOKANE 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
(aws regulating cons&ruction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
PROjECT NUMBER- 910077 i
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004499 PLAT NAME= R......j #.. g:. f"i ! + 1 I::. cOF BL 0 DWP 3 ;
,
INGE= WATER
VERA
OWNER= c:FAR JIM PHONE= 509 92';5
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ET
FACT NAME- :.: t. { WATER 1. • � ?'`. .
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T WATER ''ERVICE CO PHONE- 509 455 050
3RD j"t
f'4NE WA 99202
ITEM E?# Di':.::; # t. t.:tION QUANTITY r' `v. E AMOUNT
P I': ;:1I_.1 ::`.' :,;` '. j • #;•Y FEE E .:f: >, ;-1
C'1 . i % 1. ! i L? ?':{ {.. j.. L'. ADJUSTMENT
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PAYMENT DATE RECEIPTO PAYMENT
AMOUNT
11/05/91 8363 ,:::
.00
................................................
t.?!E•1s. DU#....... ;.00 it.:{h•r{... Pf.:l1;.;:::: 35.00
PERMIT TYPE FEE ,.. A" _ - AMOUNT PAID AMOUNT !rtN,
Pt...._Ir;I .I.Nfx PERMIT 35.00+ 35,00 ,00
35,00 35.00 ,00
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