1992, 06-10 Permit: 92004210 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92004210 ISSUED PERMIT DATE= 06/10/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 207 N SUNDERLAND RD PARCEL..4= 45173. 10.13
ADDRESS= SPOKANE WA 99206
PERMIT USE= PLUMBING REVERSAL
PLATO= 001 835 PLAT NAME= OPP.TR. 1 -354
BLOCK= 137 LOT- ZONE= AGSUB I)IST4= E"
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= 1 4 DWELLINGS= 1 WATER DIST =
OWNER= DUXBURY PHONE=
STREET= 207 N SUNDERLAND RD
ADDRESS= 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= 1 6402 E V ALLE.'i WAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE. x`r T ^� 25.00
MISCELLANEOUS 1 6.00
MINIMUM FEE ADJUSTMENT Y 4.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIP!4 PAYMENT AMOUNT
06/10/92 4402 35.00
TOTAL DUE= .00 TOTAL PAID= 35.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00 35.00 ,i:)0
____._.__.___ _
35.00 _____..____4,5.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************