1990, 03-12 Permit: 90000847 Plumbing FixturesSPOKANE COUNT ARTMENT OF BUILDING AND SAFETY
. 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= 90000847 DATE= 03/12/90 PAGE= 0i
APPLICATION
**xx3e*3r&******3e*3e3ex*•)f*3He3i•3e3*aix APPLICATION
*ie3e*3E3e******** 3e# 31 x x 3131*** 31** 313131#3134
SITE:: STREET= 121013 E 4TH AVE PAFWE:L.i 21541-1223
ADDRESS= SPOKANE WA 99206
PERMIT USE INTERIOR PLUMBING ALTERATION FOR SEWER
PI...AT ,.= 001 839 PLAT NAME= (JPP. TR. i-354
BLOCK= LOT== ZONE= Af;SUI't DISTH- E.
AREA= 00000000 1=/A= F WIDTH= DEPTH= R/W'=
OF BL_DGS= :x: DWELLINGS= i
OWNER= DE WIT•T, ROBERT PHONE=
STREET= 12108 E 4TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= LEONARD — i -I 6. E PHONE: NUMBER=:: 509 926 8964
BUILDING SETBACKS. FRO'''T,:. NA LEFT" NA RIGHT:::: NA REAR= NA
313131#x•* 1**x31****3131*3k*31x**11*** PLUMBING PERMIT •x31313(3131313133.313131..x.x.k1.x.3131.x.31.x..x•34311*31x#
CONTRACTOR= 1+6, S CONSTRUCTION PHONE= 509 926 8964
STREET= 1181r E::: VALI...EYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE: AMOUNT
PROCESSING FEE Y 25.00
MISCELLANEOUS 1 6.00
MINIMUM FE::I::: ADJUSTMENT Y 4.00
PERMIT TYPE_ FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00 .00 35.00
35.00 .00 35.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SEIATTO
#.x.x.x.x..x..x.*.*.x.x•**ai..x.x*31**31.x•.*313<•.x•***31*3e THANK YOU .x•.x..x•.x.3e343131.x.ri•**H** 311 He**.x3i>131*3i.#.*.x3433.