1991, 11-13 Permit: 91007800 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 rovisions of any state or local law regulating construction,or as a warranty of conform nce with the provisions of any state or local
laws regulating construction.
SIGNATURE OFAPPLICATION 3—
OWNER OR AGENT CSµµ DATE I9 t
PROJECT NUMBER= 91007800 ISSUED PERMIT DATE= 11 /13/91 PAGE= Of
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13405 E 7TH AVE PARCEL= 22541 -0827
ADDRESS= SPOKANE WA 992216
PERMIT USE= PLUMBING ALTERATION FOR SEWER
PLAT#= 001050 PLAT NAME= GRAY 1ST ADD REPLAT
BLOCK= 1 LOT= 15 ZONE= AGRI DIST= F
AREA= F/A= WIDTH= DEPTH= R/W= 50
0 OF BLDGS= 0 DWELLINGS= i WATER DIST =
OWNER= MONTGOMERY, R. M. PHONE= 509 928 0595
STREET= 13405 E 7TH AVE
ADDRESS= SPOKANE WA 992216
CONTACT NAME= ROBERT MONTGOMERY PHONE NUMBER= 509 928 0595
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
MISCELLANEOUS i 6.00
MINIMUM FEE ADJUSTMENT Y 4.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
11 /13/91 8635 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 : FORRY, JEFF
PRINTED BY : FORRY, JEFF
******************************** THANK YOU *********************************