1992, 05-07 Permit: 92003187 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 /Cf�3nC�' APPLICATION
OWNER OR AGENT _ G -'� --c O t� • DATE A-14-7 /
PROJECT NUMBER= 92.003187 ISSUED PERMIT DATE= 05/07/92 PAGE=: ,.;•;
•x,ti• :• .•***xx*x** •x •****•x*•x***** PERMIT INFORMATION *..** ••x•* :3•****3'A••.*••r:•*• :**R..A.:R*3.••;,:*
SITE. STREET= 13521 E 6TH AVE PARCEL..4= 22541 -0630
ADDRESS= SPOKANE WA 99216
PERMIT USE= PLUMBING REVERSAL..
P 1...AT;::•= 001669 PLAT NAME= MOORE ' S SURBURBAN HOMES ADI;
BLOCK=
LOT= ii ZONE= HNK DIST0=::
AREA F A:= F WIDTH= DEPTH= R/W__
OF BLDGS= 0 DWELLINGS= i WATER DIST --
OWNER_:: STACK , EI) PHONE=
STREET— 1 :352i E 6TH AVE.
ADDRESS= SPOKANE:: WA 9 216
CONTACT NAME= ED STACK PHONE NUMBER=
BUILDING SETBACKS : FRONT=:: N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** PLUMBING PERMIT x*****ar.*********yi • - •*** • r:*;i*
CONTRACTOR== OWNER PHONE:
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING* FEE Y 25.00
MISCELLANEOUS i 6.00
MINIMUM FEE ADJUSTMENT `t' 4.00
a'r•ii •*A*Jk# :**ri k*•?t•**it**#A*#*** •** PAYMENT SUMMARY ******x•it•**fi*•**•b;*•x****• :a:nr* .••b;*
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
05/07/92 3391 35.00
TOTAL DUE== .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT :35.00 35.00 .00
35.00 35.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
************ ** *******3 ******* THANK YOU ****** ********•***•******** A••;<•***