1992, 08-24 Permit: 92006793 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 t APPLICATION
OWNER OR AGENT ���LLL6" Jt DATE
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PROJECT NUMBER= 92006793 ISSUED PERMIT DATE= :% r 2ti . 2 .
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SITE STREET= 10309 E 9TH AVE PARCEL4= 45204 , 0447
ADDRESS= SPOKANE Oi<t?NE WA 99206
PERMIT USE= PLUMBING REVERSAL
PLATO=t^i ? •11..... 4;1�;f:` 't:!�x PLAT NAME= t..1'••% ? .I:7•:.
BLOCK= 4 E...1..1..1.::.. , %r!..IIlE::.:::: AGi';.I. 11 : t i:::::
OWNER= TROY , R,L, PHONE= 509 924 5833
STREET= 10309 I::. 9TH?••? A 1i?::.
ADDRESS= SPOKANE LIA 99206
CONTACT NAME= GENE FORD i•i f••:(:) UIf •f'iNi'I'•ii.fi' 'Ili >0'i ..
:`:r 1 i-sFRONT= ••l r t••; LEFT= ',j/c RIGHT=; N/A.. REAR= f J t=1
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CONTRACTOR= FORA?::: CONSTRUCTION FuC:: ? .E.ON PHONE. •• 509 924 82
STREET= 9713 E 4TH AVE
ADDRESS=E::.'.,.. SPOKANE Wt::; 99206
ITEM DESCRIPTION QUANTITY FEE AMuUNi
PROCESSING FEE 25. 00
MINIMUM F?::.E t?f l:.U i M E::.'4.. t: 4 ,00
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,••.n ,:•.:,...:,_1 DATE ,.:'(..:E ,..,T41:
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08/2.4/92 2 6 ... ... 35 ,00
TOTAL DUE= .00 TOTAL PAID= 35 ,00
PERMIT TYPE FEE AmOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 3r• 1l}' 35. 00 ,..:i
00 35,00 ,00
PROCESSED BY : .i Ci it_i TRI.I:, •C E E ROBIN
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PRINTED BY : I)t..1?''i.E. I R O V.E.I_.H: ROBIN
: iun ;nij1u: jx ;iig* jjjxhsjrufiih THANK ;I ? : jj*) ) :*P* iRk : ? iI *J :Fr: :u :" .