1990, 04-06 Permit: 90001320 Plumbing Reversal SPOKANE COUNTY DEPARTMENT OF r _DING AND SAFETY
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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 90001 320 DATF= 04/06/20 PAGE= 01
TssdED PERMIT
**************************** PERMIT INFORMATION *-******************** **-****
SITE STREET= 12812 E ETH AVE PARCELO= 22543_..0214
ADDRESS= SPOKANE WA 99216
PERMIT USE= PLUMBING ALTERIATION FOR SEWER
PLATO= 002962 PLAT NAME= WOODWARD PARK ADD
BLOCK= '. LOT= 2 ZONE= AG;SUB DISTO=
AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 143 R/wm
4 OF BLDGS= 4 DWELLINGS= 1
OWNER= DAISS, BILLY E PHONE= 509 924 4773
STREET= 1 281 2 E 8TH AVE:.
ADDRESS= SPOKANE WA 99216
CONTACT NAME= ACE PLUMBING PHONE NUMBER= 509 928 7400
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT== NA REAR== NA
***************************** PLUMBING; PERMIT ******************************
• CONTRACTOR= ACE PLUMBING & SEWER SERVICE PHONE= 509 928 7400
STREET== PO BOX 13537
ADDRESS= SPOKANE WA 99213
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING F�'EE"_.__..______.___ _..�____ ___ 25.00
VACUUM BREAKER/BACKFLOW i 6: 00
MISCELLANEOUS 2 12.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECE:IPTO PAYMENT AMOUNT
04/06/90 1 560 43.00
------------
TOTAL DUE= .00 TOTAL PAID= 43.00
PERMIT TYPE FEE. AMOUNT AMOUNT PAID AMOUNT OWING;
PLUMBING PERMIT 43,00 43.00 .00
___
43.00 .____..4;3.00 _____.._.________. .00
PROCESSED BY : STEVE HOLYK
PRINTED BY : STEVE HOLYK
******************************** THANK YOU *********************************