1992, 07-15 Permit: 92005282 Sewer • 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 orcancel 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 Cf
OWNER OR AGENT �- r 4A4r DATE 7-
" COj .f I NUMBER= 92005202 ISSUED
1 .I "t :. � e . DATE=. 07/15/92 !"At...... 01
, 1 } . p i15 ! tt t 3 1 . f 1 1.1 : .1}..1 : . 1i � ! i INFORMATION t ` 4:tT h 1iYk 974.pi } q } . .
SHE
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:.}s. ? s`::. ::: t ,,, , -- 13103 i::. f ! i..l AVE f t'••.t.:t:.L..•tr--• .... ...... ._.
!r'•?,t.•'J,1!'S E::.S,w,:::: SPOKANE ?,!;" 99216
PERMIT USE= SEWER TURN !-•;E'!:t.iUi*?J% IN BASEMENT
PLATO= 999999 PLAT NAME= RANGE
00000000 t:7 ' 4 I::' WIDTH= U,..r i• e•t.
•tr t.lP' B?...+.%!_±,:ir.:: ...•i+... '• WATER DIET
OWNER= CLARK , RON PHONE=
STkhEl = 131w3. E 4TH AVE
ADDRESS= SPOKANE WA t.
CONTACT
{ , yt, y NAME=
a? E. ttPLUMBING PHONE NUMBER= 509 _ . . 4231
BUILDING SETBACKS : FRONT= ' ! iI " it 4lNA KLAR= NA
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d.p. p..+.p.:+. 1•.d. j+. R171•.1•.Jt..1.1. 1...... ....J.1... 1. !^F i:i4}� ,FY;..± +.... i
CONTRACTOR= „ ; PLUMBING PHONE— f: . 326 4: ;•
STREET= 1310 N MAPLE ST
ADDRESS= SPOKANE WA 99201
ITEM I::.M Di::.:*.t.:`e';.E.{: IIO!'a QUANTITY i'.+.`.:,E::. AMOUNT
PROCESSING 1-LE
!..,tom•: L.
a NI:7,'I 6,.00
MINIMUM
1:1}•, , } .•.UM F E ADJUSTMENT
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.y..t...}}.:g:4':y,.•1+•9r 9t gs-:e;.:•t, >., t..p.it!•.},.,1•. t 1•.!•.1•.1.,, :•,:,,
1 J:. 1:F, ,.!t •+. {•::'. il::.I�'d :::i„!I. !(•1 3•t;Y !.1.ti�:1L 1. �'
PAYMENT
aY ? NT T s T F. . _ t : 1 ' ., PAYMENT; : :E N ' U
07/15/92 5467 35,00
TOTAL DUE= ,00 TOTAL PAID= 35 ,00
F E::.E".i"i.I. t• ! , , ,... AMOUNT AMOUNT IN.3. I: A.1.D AMOUNT OWING
PLUMBING PERMIT 35,00 35,00 „00
'.j 35,00
PROCESSED SE".J_1 Bi : :.JOHN Lt•tRSON
PRINTED BY : jOHN LARSON
N
•1':•p:;7..1+.•1t'P••1t.1}:•}},•.1}..1+•..1+;9+:*:+k N:p:)!.h le, 1..R 1L :7 p.tr•!;•:1t-* 4'!7* THANK y i.J=..J :1+,.j{..:}:•Kr 7U d':**.jJ � 1>: t:¢:,{.
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