1989, 11-28 Permit App: 89004928 Plumbing Reversal SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
{ I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.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 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
,_.. 0900492@ 11 /28/S9
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APPLICATION
i,:•t'•:•tl••1,i 7t= L•'17 9,:".•i• !,.i¢;ji•jf..}S.jt::1f..j:.?i••! r?-i'i i, ),;:j,;i,'s-li.j1.itr.:,h;,>:�1l- APPLICATION p•;,i•tt 9!•1t i, •j:Jl•i{•1'•-j'i Pi lk•1•`'N P•*1•rt•*)k 1?•9L R iE ft•Jk 1 hi•};.
SITE STREET= .12715 E 9TH AVE PARCELO= 22543-0220
ADDREES= EPOKANE WA 99216
PERMIT tl::E• INTERIOR i'I..%.iMt'1?.!+/G ALTERATION !..O R :.•.}.. Ai i-'±•_:
PLATO=:::: t.1i:1.r.`.9•".;,:: PLAT t'•+:r••Ir^::.' `.'±E.fi(.iJl?¢/•t'•.} -+....?I`••, ADD
AREA= 00000000 r.../Ft:::: I-• WIDTH= 100 -i' r ±••= 142 R/±,t::::
._. OF ....
OWNER= I.$r.:!t_•,N.r.± D: EDWIN PHONE= 509 _. .r, t`...
:7 ., E :.r..{. E
ADDRESS= SPOKANE WA 99216
CONTACT N[•$i±t;.... LEONARD ±..± & PHONE NUMBER=R-- •,.{'Ir`:=i
BUILDING SETBACKS : FRONT= NA LEFT= r. RIGHT= NA REAR= NA
.jt,.jt}.p;-Pr*$t;•jt;•it;i4i:gA:t4..j1.jt,.jt..ji••p; ,;•j,;'Pi'j}i-j',• •Pr ,i;ti'Pi tt!;:a: PLUMBING PERMIT :1,..,,,,**:/ti*.ryr hi•1tr?G P•Pr it:.)ti•Pi 1tt J4•.j,i.j4.j'i ini ini.h:K.jc.j,,.jy,:ni.j+.zti
CONTRACTOR= {!? :.. CONSTRUCTION PHONE= 509 926 G964
ADDRESS=
D . ...:, : ' K Nv WA 992106
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING i 1:::i s 'r` 25,00
MISCELLANEOUS I 00�,n ,:t.:
,:E
MINIMUM i'_E::(::: ADJUSTMENT; r'±,::.NT 4 :{:.'10
PERMIT± r .r 'E I::t:.I::. AMOUNT
AMOUNT
PAID AMOUNT OWING
.NG
PLUMBING PERMIT 35,00 :. t'.},Cj 35 ,00
•
75A0 ,00 35,00
PROCESSED >::{`r : :.J i..J 1....i i=. ;:?i-i r^,T•I L
PRINTED t BY : ,:t.Jl...1:1::•. :.; (A : .I.+::i
****x******************** ******... T.t;;N: ******************* **K** **. : .jj. .jt.
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"� �- ) " �PLUMBING� PE?MITAPP1.ICATIIN FORM y
D - ) C% 6 Information Workshe t
JOB STREET ADDRESS: / C ? ( 5- t (7-14- A_
CITY/STATE/ZIP: PARCEL NUMBER: r
OWNER: PHONE NUMBER:
MAILING ADDRESS: I1
(Street) t 6 ty/State) (J.Zip
tom. � � � t l
CONTRACTOR: _..j - 2 CL. -// &_. LICENSE NUMBER: • �% L-
PHONE NUMBER: ',
MAILING ADDRESS: r/ �/
(Street) (City/Sta j `Zip)'
3
V\
PLUMBING WORKSHEET/FEE SCHEDULE
C1/1 r�j --- )L-)Y.
' ' NUMBER OF X EACH
A r ` DESCRIPTION FIXTURES FIXTURE = AMOUNT
(9)1)-)25t-- TOILETS x $6. 00 =
SINKS x 6. 00 =
SHOWERS x 6. 00 =
BATH TUBS x 6. 00 =
KITCHEN SINKS x 6. 00 =
DISH WASHERS x 6. 00 =
GARBAGE DISPOSAL x 6. 00
CLOTHES WASHER x 6.00 =
UTILITY SINKS x 6. 00 =
ELECTRIC WATER HEATERS x 6. 00 =
FLOOR DRAINS x 6. 00 =
FLOOR SINKS x 6. 00 =
BAR SINKS x 6. 00 =
ROOF DRAINS x 6. 00 =
LAWN SPRINKLER x 6. 00 =
SEWAGE EJECTOR x 6. 00 =
WATER SOFTENER x 6. 00 =
URINAL x 6. 00 =
DRINKING FOUNTAIN x 6. 00 =
I
SUBTOTAL $
PLUS: PROCESSING FEE + $ 25. 00
1
EQUALS: TOTAL PERMIT!
NOTE: MINIMUM PERMIT FEE IS $35.00 FEE DUE ( = $
I 1 1
SIGNATURE
Spokane County Department of Building and Safety
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675