1992, 06-22 Permit: 92004591 Plumbing Reversal ammmmomm.mmommommummumml
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 c,ntained 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 APPLICATION
OWNER OR AGENT DATE
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t.::.,, i.'•'E. i NUMBER= 92004591 ISSUED PERMIT DATE=E 06/22/92 PAGE= 01 i
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PLATO=ADDRESS= SPOKANE WA 99216
PERMIT UEE- PLUMBING REVERSAL
001669 PLAT NAME= MOORE ' S,, ;• U tE„RB HOMES f
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AREA= t..! (.y.... Fi:;E.{.tt••`•7..{::. 95 DEPTH= 150 {";.'Nd::::
.a. OF jE EJt.,» c:: 't ::" DWELLINGS= WATER DIET
OWNER= FRANCIS, GERALD PHONE= 509 928 1130
STREET= 13617 1::. 7TH AAA
ADDRESS= SPOKANE WA 99216
CONTACT NAME=A PLUS CONSTRUCTION {.:..ONE Nt..{'{i:'}::.:r::::: 509 299 4594
BUILDINGSETBACKS : 1:'•'1rNj•:::: N '� LEFT= RIGHT= ! A ''?-'A f�f/!
7. .... ...s FRONT= �%f••, (••,:;f.:i {":.I. 7:'{ { :.. �i{: REAR= ;.:t
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CONTRACTOR=rt•$ PLUS CONSTRUCTION PHONE= 509 922 4594
STR
ET= 115
CHIRLEY RD
ADDRESS= SPOKANE v[$(: 99216
ITEM DESCRIPTION QUANTITY hhE AMUUNi
•
PROCESSING FEE 25.00
MISCELLANEOUS .E i .:
MINIMUM FEE ADJUSTMENT 4 .00
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.-....-.... .. . . . PAYMENT
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PAYMENT i,if•t i {::. i{I:.t.:E.{,!.. :: PAYMENT AM1.iU > {
06/22/92 !'7. i 35.00
TOTAL i.}UE:::: :.t:tt;1 TOTAL r"AID:::: 35.00
PERMIT TYPE _..{::.}::. AMOUNT AMOUNT PAID AMOUNT t,:txE.{.{');.;•
PLUMBING PERMIT
ErIy . . , » r35.00 .00
35.00 3!::}:. 0}0 .00
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DONI f t' OV'.I.OH - ROBIN
PRINTED BY : Di, 'M.. ?R.t.?V.i.c:`..t; ROBIN
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