1992, 12-16 Permit: 92011010 Plumbing Reversaland correct. and
SIGNATURE OF
OWNER OR AGENT
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
In addition. I have
APPLICATION
DATE i l
fRO,JE:CI NUMBER= 92011016 ISSUED PERMIT DATE== 1'2/16/9" PAGE=- iii
PERMIT:i NFOR:HA7ION
SITE STREEi:I'== 10009 E: tCrl'H AVE': PARCE:L.."= 45204.9246
ADDRESS= ;SPOKANE. WA 99206
1=EF:M7:T USE= PLUMBING REi:VERS'AL..
PLA T::= 999999 FLAT NAMIE:= RANGE
BLOCK=: L.OT'= ZONE= UR --3.5 DIST,- E:'
AREA= 00000002 'r/A= A WIDTH=: DEPTH= R/W:::: =74}
C OF' BL..DGS= DWELLINGS- i WATER DIST' =
OWNER- OL SEPI, HARRY PHONE=
.S'T'RE: : ET= 10609 E: i 6TH AVE
ADDRESS= SPOKANE. WA 99206
CONTACT NAME= TRIPLE S CONSTRUCTION RHONE: NLIMBFR-- 509 9"•7 'S6
BUi LDENG SLTBACKS: FRONT= N/A EF -T= N/A FIGHT- N/A GL_AR= N/A
PLUMB I.NG FERMI: T'
CONTRACTOR= TRIPLE .S CONTRACTING PHONF== :509 977 43!7,9 t
STREET':-: 113:72 E BROADWAY AVE
ADDRE.S.S::= SFOKididE WA 99:061
ITEM DE:SCR:EF'ITON G)LIANI II'Y FEF AMOUNT
.................___.........___.._._._.....__.-_. _..
PROCESSING FEE: Y _rq 0O
MINIMI. M FEE EOLJS 4.00
MINIMUM AD..I LIS'TMEN7 Y 4.00
PAYMENT SUMFiARY
PAYMENT DATE RECEIPT: PAYMENT AMOI.IN7
12/16/92 1317 35.00
TOTAL DUE= .00 TOTAL PAID= _. _.._.._.-.-:35.00
PFRMIT TYPE FEE AMOUNT AMOUNT E"AID AMOUNT OWING
PL..UMBING F'ERMIT 35.00 ;35. 00 .00
35.00 35.00 .Cx3
FROCE.SEED BY: DOMITROVICli, ROBIN
PRINTED BY: DOMITROV'IC;H, ROBIN
THANK YOU