1992, 04-01 Permit: 92002040 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
r,.. (509) 456-3675
I certify that I have examined this permit/application, state that the information contained In hand 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./ understand that the of this permit/applicationan-d any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authoritytoviolata 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. APPLICATION
SIGNATURE OF AApPE
OWNER OR AGENT
PROJECT NUMBER= 92002040 ISSUED PERMIT DATE= 04/01/92 PAGE= 01
**.************************** PERMIT INFORMATION *******X********************
SITE STREET= 13420 E BTH AVE PARCEL.:= 22544--0703
ADDRESS== SPOI(ANE.. WA 99216
PERMIT USE= PLIJMBING REVERSAL.
PLATO= 002404 PLAT NAME= SOMMER'S _ADD TO WOODWARD PARK_
BLOCK= 1 LOT= 3 ZONE= AGRI DIST:= F
AREA= F/A= F WIDTH= 100 DEPTH= 140 R/W=-
OF BLDG.S= 2 : DWELLINGS= 1 WATER DIST = VERA
PHONE= 509 926 2338
OWNER== I(OZEI...ISI(I JEROME L
STREET= 13420 E 8tH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS: FRONT= N/A LEFT'- N/A RIGHT- N/A REAi2:= N/A
*141E************************** PLUMBING PERMIT ****************
CONTRACTOR= COIIRCHAINE CONSTRUCTION
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING 25.00
MING USE Y 1 6 00
MISCELLANEOUS 4 00
MINIMUMMY`
FEE ADJUSTMENT
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPTt PAYMENT AMOUNT
04/01/92 2274 35.00
TOTAL DUE= .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00 3500 .00_ .._...____.
35.00 35.00 .00
PROCESSED BY: DOMITROV1CH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
**t****************************** THANK YOU *********************************
PHONE= 509 924 5485