1992, 03-19 Permit: 92001668 Plumbing ReversalSPOKANE 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 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
OWNER OR AGENT .—fia�h�
APPLICATION /9 —949\
DATE
PROJECT NUMBER= :::: 92001 66B ISSUED PERMIT
DATE::. 03/19/ 92 PAGE- 01
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SITE STREET= := 1 3321 E STH AVE PARCEL„:::_ 22s41-0205
ADDRESS= SPOKANE WA 99216
6
PERMIT USE= INTERIOR PLUMBING FOR SEWER REVERSAL
r:I._AT4=:: 001015i Fi...AT NAME::::: GRAY A:DD
BLOCK=
LOT= ':> R'.(:!NF:::= r"7GE I DI 'T'::::::
AREA::_ F:/A-: F WIDTH= DEPTH=
OF t l...DG \ ( „: DWELLINGS= I WATER DIST ::::
OWNER= MANN, ..J R
STREET= 13321 E 5TH AVE"
ADDRESS= :::: .POKANE:: WA 99216
PHONE=
CONTACT NAME= TLC PHONE NUMBER= 509
UIL..isIr!'. SETBACKS: FRONT= NA LEFT= T::: Nas RIGHT= NA REAR= NA
9.27
6760
K**************************** I F... u I"1.:t .. f`...r PERMIT.p..p'.*.p. *.'p'..j(.:M..j,:.)j..k •li..{ N..t * /(• =P:•.{- it 7r lr it it ')r }{ .i.*.1t..R.
CONTRACTOR:::: TF...C: CONSTRUCTION
TRUC:TION
STREET= 13016 E::: 12TH AVE::
ADDRESS= SPOKANE WA 99216
PHONE= 50 927 6760
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE 25,00
MISCELLANEOUS i 6.,00
MINIMUM FEE ADJUSTMENT 4.00
• .._NT .,U. m R. .. ....
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PAYMENT DATE
03/19/92
TOTAL DUE=::
PERMIT TYPE
---------------
PLUMBING PERMIT
R E:: C: E::1:.: i• :
1860
00 TOTAL PAID=
F E E:. AMOUNT
35.00
35.00
PROCESSED BY: ...L.JI....T.E::: SFir'7TT(:1
PRINTED BY: ..J i.J E... I: E:: => H r^I -C "E' f
AMOUNT rAi::1)
35.00
35.00
PAYMENT AMOUN !
35:.00
................................................
35.00
AMOUNT OWING
-------------
,00
.00
N. P: •!; •}i 'k: •P * .i• * •}r . * * A- * * H. }i- * n. n: * * .f• * * .1. * .j1..11..j,, * THANK ? o u ...){..jk •* •'P.• •jr: •* * * *.ji....r * :p::1,..j;..j,:.j;..jt• .p;..j(..j;. * •x• :• .i •h:• •p: * * * *