1992, 06-04 Permit: 92004033 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,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 NU1•.i.:{!.: = 92004033 { .;.=.UEz: PERMIT DA S ".... 06/04/92 PAGE= 0 1
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SITE STREET=
ADDRESS= SPOKANE WA 99206
PERMIT USE= PLUMBING REVERSAL
PLATO= 000376 PLAT i?A3"+E:::' CHESTER HILLS HEIGHTS
BLOCK= 2 LOT= LUNc— UK
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S ,!- ::;S::.l...l....3.1'`?i.,:.r.:: ': WATER!...!. f.t .:, I
OWNER= " : 3 d r CLIFFORD PHONE=
STREET= 3002 UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME= S L.. {..: CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS : FRONT= N:'f•? LEFT= S''d:'A RIGHT= i`d,•e:{ REAR= N/A
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CONTRACTOR= TLC CONSTRUCTION PHONE= 509 927 6760
STREET= 13816 E i2TH AVE
ADDRESS= SPOKANE WA 9 '1i 6
ITEM i 1I::.:::L.:S": 1,I.: iIi.. s"'1 QUANTITY FEE AMOUNT
F:)#'?.i•ii^:I::.,: c .I.^?4:! ... '} ?i?f
MISCELLANEOUS
6, 00
M. I" _. . IiD J U S ' N^ 4 ,00
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....!.:...!...: .. ........ r•f•E'[. .:..#k S. `•.F,il"F:"it'{S•?`Y ir'i:':}• .N...i.
PAYMENT DATE i::. _: F.{•• { P O PAYMENT AMOUNT
06/04/92 .. .. 35 , 00
................................................
TOTAL ).%i..}I::. " „00 I F.,,= I f'd i_ PAID= ,:5 ,,4,-! ,i
PERMIT i E # I : AMOUNT rN PAID AMOUNT OWING
PLUMBING PERMIT 35,00 35.00 ,00
35,00 35 ,00 .00
PROCESSED T ( l " iTq" w. i " , ROBIN
PRINTED BY : Tc ': TK" vI: I ;
ROBIN
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