1987, 09-17 Permit: 87003069 Piping SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.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 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
PROJECTNUMBER= 87003069 :7TE : 09/17/87 P"cE: 01
'j>:•*3,..j;..jt n:•jt 3r.3':'3*3'.•u;3*3i*•hi*:*.*.3i 3':)f'*•j{•jt'h:* F'E I''•:N.I. i INFORMATION 3t•3t•h:3*3k 3**3t•'N:3i••jt'3**3k 31 3*..p;.jr..j;..jt..jt..j;:'.'u:*3t'**
SITE STREET=REET:::: 03 5' VERCLER RD PARCEL: :::: 22542-1952
ADDRESS= 99216
PERMIT USE= C;r,,a PIPING
PLATO= 000975 PLAT NAME= C;A I:::<BREI?E ' S SUBURBAN HOME ADD,
BLOCK= L !
T : 6 ZONE= A1::;St.lB DIST:,,:::::
AREA= 00 000000 E::/A= F WIDTH= 49 DEPTH= 177 {.` ,:I:::: ,tj
9r;8 5244
OWNER= SHERRY, MARGARET C PHONE= 509
STREET= 13205 20`> E 7TH AVE
WA99216
ADDRESS= �.5 F't:i Ei f�I�E::
CONTACT NAME:::: MARGARET C SHERRY PHONE: NUMBER:::: 509....926....7580
BUILDING SETBACKS : FONT:::: LEFT= R:LGHT:::: REAR=
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CONTRACTOR:::: OWNER PHONE=
ITEM :i)E::SC::R1:F'TICiN QUANTITY FEE AMOUNT
PROCESSING a:NG :E::E 15.00
C;AS F'IF':I:NC; i .' 5')
MINIMUM FEE ADJUSTMENT `( .4.5
3*..............................*3i 3r..7t.b:H•...3i 3f.3i u 3F 3(3t pAymENT SummARy 3i*3t.j{..ji.*3{3{3i*3i•*) •A:*•j{N•:rt 3['X,(3{u.3i*•3i 3{3i
PAYMENT ME::{`'T :i.ATE REC::EIF'TO PAYMENT AMOUNT
y
/17/87 3779 20, 00
TOTAL I)UE:::: ..00 TOTAL PAID= 20.00
PI..:Ri`1IT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MECHANICAL PRMT 20,00 20,00 ,00
20, 00 20,00 ,00
PROCESSED>,`.iE..:)) B'Y : UJE NDE L.. , GLORIA
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