1992, 11-13 Permit: 92010078 Plumbing ReversalSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that l have examined this permit/application. state that he information centained in it and submitted by me or my agent'
and correct, and authorize Spokane County to proceed with processing. In addition. have read and untleratantl the IN
SIGNATUREOF ` APPLICATION 41-1
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OWNER OR AGENT DATE— —�— 1
VO/ p
PR,.,.Ier;r EduM,+Fr= 920100'r Ec SUED YERVilT DA TF--- 4_ d
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91TE: S'T'REET==
PfiYMEi:NT DAT"::
IOC304 E:
i0TFi AVE
p'AYMF:NT AMOiHNT
PAROFIA:= 45213.9243
ADDRE:.SE-
254
SPOKANE:
WA 99206
10TAL. DUE=
100 Tr11Ai
PE. Fi"SIT USE . =
PL_UNDI.NG
REVFRSAL
..(r PE FEE :
.....-.___..
AMOLINT AMOUNT
... .... .... ... ...._._.... ......---.__.-. _.._-.............
:AID
------..-..._......
P'I_AT"m:
999999
PLAT NAME::_
RANGE
35.193
.00
DL_OCK
rlI=
ZONE=
AIRI:
DI T = C
AR rn-
0002,1000
F A=F
w.EDTH
-
SO
r,l_P1H::= 30.).. •: ,.-,
I7 OF BI_DGE=
4
DWELLINGS-:
i WATER
DIST
-
CiWNr R:=
H:I: L L.. I:E R,
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F'HONE:-.
509 92q 1,014
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R G. RS':°
.S'POK ANY.
WA 99206
CONTACT
NAME.:::::
TOM STONE::
EXCAVATION
PHONE:
M.LMDER- 509 9,'R -,,..
BUIL-DING SETBACKS:
FRONT;-
N/A LEP-"r::=
N;`A FiIGFIi::::
0A
KEAii•= N/A
PI..I_IMFiING PE:: RMI-,
rONrPACT0R::= TOM :;T(';NE FXrAVATING PHONF= liO9 92ri
rrRE:E::T:::: PO BOX 141.`.54
ADDRP..SS== SPOKANE WA 992i4
I:rE:M DESCRIP'T":E.ON QU NT'I: TY FE:E:: AriOUNT
__.._....._.___._._.........___._._............_.__. _... __.... _.............. _.... .... ... ... ... .... ..__-
F'ROCEESlNG FEE Y 25.00
M SCli:: i... i... A NF. Cris 1 6. 0
Hi.NIMUri F'E:E:i: ADJI.ISTMENT Y 4.:00
#a4r; rt rf-*yy Kn,t,t#a4####a4 PAYMEN'Y- FUM(JARY r: r4 ri##a## a,4 a4mat ,t,r;t at ai hh<: h. ,.:: rr;; :•4
PfiYMEi:NT DAT"::
M.,CE is PTO
p'AYMF:NT AMOiHNT
i i/1 3/92
254
35.0-0
10TAL. DUE=
100 Tr11Ai
PA 1)
.x J. O1)
P ECRM I .
..(r PE FEE :
.....-.___..
AMOLINT AMOUNT
... .... .... ... ...._._.... ......---.__.-. _.._-.............
:AID
------..-..._......
AMOUNT' r)WING
.... .... .... .... ....
PLUi. B:I:NG
PERPIIT'
35. Chi
35.193
.00
35 00
3500
PFi.jC:E'`ED BY.
DOMIIROVICH,
R01i.LN
E'RI:NTE1; rtr:
DOMITROVi:CH.
ROBIN
i4 #1i 11 .3t .11..11 Yt it
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THANK YOU
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