1990, 09-12 Permit: 90004545 Plumbing Fixtures SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509) 456-3675
I 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 an sequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or ca -•rovisions of any state or local law r latin construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construct'': _
SIGNATURE OF / (0741101147""Ai DAPEICATION Q. /� �q
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OWNER OR AGENT
NUMBER=PROjEOT 90004545
da:n : : : : i)i :. , : FFJ , 1 : l : L: x x .JPERmIT INFORMATION i51 } t t JitifJ : tj 4 i*:i:}j•:.;:...�._...3t.:ti.: 4:
SITE ETREET= 12820 6TH AVE ,'A R i..,,'#...:,#._.. 22542-2447
f•i? Dt°•'.....,.:.. •• SPOKANE .,Ifni `,7'? n.`.t:.3,'rt
#" E r'•.I`#.#. # USE= R#-iUi_vH IN FIXTURESFOR FUTUREBATH
TN BASEMENT
PLATO= 001692 PLAT NAME- MORROWE ADD
... :::)00000()t.! t.. , A.: ,.. ti:l• .._ 11 Et.: : , 't• : -
OWNER= WILLRicH, ROBERT E PHONE- 509 928 4118
i'•. -.F:. I_.. 12820 6TH
t''I AVE�f _
ADDRE
S= SPOKANE WA
CONTACT NAME- jL.C.,RYE PLUMBING PHnNE NUMBER-l..i•,'- ;09 926 5610 .
BUILDING ......••:••t't t-:I .... . FRONT= NA
LEFT- N A RIGHT= NA REAR- `•:i t:
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• STREET= 1 4.;i.# .4 E MAIN AVE
ADDRESS= EpOKANE WA 992.16
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,, ITEM DESCR::.ET:„ON trojANiFly FEE AMOUNT
PROCEEEING FEE 25,00
1 12,00
6 , 00
:^ WASHER
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PAYMENT DATE #':#::.i.•#::.:#.# # :y: PAYMENT AMOUNT
09/12/90 5410 79,00
' TOTAL DUE- ,00 TOTAL PAID= 79,00
PERMIT TYPE F
Y : E AMOUNT AMOUNT PAID i AMOUNT
` r ; xIN:
PLUMBING
79,00 79,00 , 00
PRINTED BY : JOHN LARgON
' :k .: i Ait : } t* :Jtj: : : : L iy. ijiij }}. L THANK you ************************:k********
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