1992, 03-09 Permit: 92001359 Plumbing Reversal 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 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
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OWNER OR GENT R S 1\ VW`k\,1 APPLICATIONS / n / q
DATE (
PROJECT NUMBER= 92001359 ISSUED PERMIT DATE=: 03/09/92 PAGE= 01
**************************** PERMIT INFORMATION *********************•*******
SITE: STREET= 13123 E 6TH AVE F`t•tRCE"i...;:= 22541 -9069
ADDRESS= SPOKANE WA 99216
PERMIT USE= PLUMBING REVERSAL
PL.AT4== 999999 PLAT NAME= RANGE::
BLOCK= LOT= ZONE= UR 3.5 I)IST.=:: E:
AREA== F/A= F WIDTH== DEPTH= R W=:
OF BLDGS= i •r DWELLINGS= i WATER DIST =
STET w ii: SEE ' 0 AV & LOIS PHONE= 509 924 1955
ADDRESS= SPOKANE WA 99216
CONTACT NAME= RUSSEL.. & LOIS OL_MSTEI) PHONE NUMBER= 509 924 1 955
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT- N/A REAR= N/A
•;t•r:***x********•*************** PLUMBING PERMIT ********•x• *** •**** :**x•*p:p:*****
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE.: Y 29.00
MISCELLANEOUS •i 6.00
MINIMUM FEE ADJUSTMENT Y 4..00
*•****************************** PAYMENT SUMMARY ***************************..k.
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
TOTAL DUE== .00 TOTAL PAID= 5 .00
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERM IT 35.00 35..00 .,00
35.00 35.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
*x*•***************************** THANK. YOU *************************•;::****•N:**