1992, 09-08 Permit: 92007310 Plumbing ReversalSPOKANE COUNTY DEPARTMEN LDINGS
W. 1303 BROADWAY AVE
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
OWNER OR AGENT/C2
PROJECT NUMBER= 92007310
APPLICATION O P�/)
DATE O o�
ISSUED PERMIT DATE=:: 09/08/92 PAGE=
**3)333** PERMIT INFORMATION ************-R•* •***ai•;: ** ***
ITE STREET= 13318 E 5TH AVE
ADDRESS= SPOKANE WA 99216
PERMIT USE= PLUMBING REVERSAL
PARCE:L.4= 45221,0505
PLAT; = CONVRT PLAT NAME= CONVERTED CNTY DATA
BLOCK= LOT= ZONE= AGRI DIST;_::
AREA= 00000000 F/A= F WIDTH= 90 DEPTH= 141 R/ W:=:
OF BLDGS= ; DWELLINGS= 10 WATER DIST =
OWNER= SIMIONI, AL D
STREET= 13318 E 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= T L C CONSTRUCTION PHONE NUMBER= 509 927 6760
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
PHONE=
•*******-*•p ******** *•*********• PLUMBING PERMIT *****>{*•>t***->< .•x•...•x•er-u• •* : •**-;i • :ri•��
CONTRACTOR= TLC CONSTRUCTION
STREET= 13816 E 12TH AVE
ADDRESS= SPOKANE WA 99216
PHONE= 509 927 6760
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 'r 25.00
MISCELLANEOUS 1 6.00
MINIMUM FEE ADJUSTMENT Y 4.00
**********************3* PAYMENT SUMMARY*****itif•***•)t•**-*•fie-**it****-*•k-isitii,P:
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
09/08/92 7414
TOTAL DUE= .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT
35,00
AMOUNT PAID AMOUNT OWING
35.00 ----------._____ .00
35.00 .00
PLUMBING PERMIT 35.00
35.00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
* ** **•************** ** **** THANK
YOU
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