1989, 12-12 Permit: 89005179 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that 1 have examined thls permit and state that the Information conteiried In I ltnd 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 agreeto comply with same. All provisions of lawn
and ordinances governing this type work will be complied with whether specified herein or not. l understand that the Issuance of thls permit and any subsequent
Inspection approvals or Certificates f 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 for
ance wwJl4 the , rovl-,. na of any state or local laws regulating construction.
SIGNATURE OF APPLICATION ! / �7
OWNER OR AGENT • PATE Ci t
PROJECT NUMBER= 1900.51 79 DATE= 12/12/89 PAGE== 01
ISSUED PERMIT
*3t'3 3*3P3.......3E3B3634343@3F3i'3HF3)@3F*3(•'ii'X3 * PERMIT
INFORMATION *********4******************
SITE STREET== 12812 L 4TH AVE: 1='Ar ('j:1..»:=_ 22542-1015
ADDRESS= ,SPOKANE WA 99216
PERMIT USE= INTERIOR PLUMBING REVERSAL FOR SEWER
PLATO= 001840 PLAT NAME== OPP.TR. 1-354
BLOCK=:: 10 LOT= 15 :ZO JF= AGSUB DISTT=:: F
AREA= (0000000 FIA= F WIDTH= DEPTH= R/ W=:
.a OF FILDGS= 0 DWELLINGS= 1
OWNER=:: WATERS, BARBARA
STREET= 12812 E 4TH AVE
ADDRESS= SPOKANE WA '?77j r'3
PHONE=::
CONTACT NAME= BARBARA WATERS PHONI NUMBER=::
BUILDING :SETBACKS. FRONT== NA LEFT= NA RIGHT= NA REAR= NA
36#3436*'*3i'**3i** *#.3'333 9c*#** 3t** 3f** PLUMBING PERMIT.X.h.3(•3i'i[**3i'3k'if3i'*3i'3*3t..h..A..j(.}(. .h.".tt..x.{(..ii. 3('**3i'*
CONTRACTOR== OWNER PHONE:::
ITEM DESCRIPTION
PROCESSING FEE
MISCELLANEOUS
MINIMUM FEE ADJUSTMENT
QUANTITY
Y
FEF AMOUNT
25.00
6.00
4.00
***It** *******************4***.) PAYMENT SUMMARY 36*3r 3i dE 34343('3E 3E 3r 34'i(')6 •i6 •i4#343i'3F 3r 3E 3F A3634 P:
PAYMENT DATE: RECCEIPTO PAYMENT AMOUNT
12/12/89 6284 35,00
TOTAL DLJE= .00 TOTAL PAID:::: 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00 :35.00 .00
35.00 35.00 .00
PROCESSED BY : JULIE SF•IATTO
PRINTED BY. JULIF SHATTO
363434343434*.Y'3i'3i'**.Fiti'3f3Edi*3F3('3('.H'3i •h•.3f3t'*3i'3i'*.3*3(3i' THANK YOU 3(36di'3i'3
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