1992, 04-23 Permit: 92002789 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 i'formation contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceedemith pissing. 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 APPLICATION
OWNER OR AGENT DATE
PROJECT tI C:T NUI`iI ER= 92002789 ISSUED PERMIT DATE= 04/23/92 PAGE= :ji
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SITE STREET= i3 ''.03 E I 'i T F'# AVEPARC:F:::l.. = 22544-1110
ADDRESS= SPOKANE AN.f WA 99216
PERMIT USE= PLUMBING REVERSAL
PLATO= 001670 PLAT' i AME.:: ritlOIt#` ' ,a PARK
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:Iii K= i5 � LOT= ZONE= = xR }: I?1gT4:=
AREA= 00000000 F :A= r WIDTH= DEPTH=
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4 OF BLDCS nDWELLINGS=
10 WATER DIET =
OWNER= GO#=F=IE=LI`? , DAVID PHONE=
STREET= i[ '+.",•.�0�i I i i TF'I AVE
ADDRESS= SPOKANE WA 99216
CONTACTNAME=
• H S CONSTRUCTION
OJSTRUCTION
PHONE NUMBER= 509 9
2 t 8964
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
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CONTRACTOR= H & CONSTRUCTION PHONE= 509 926 8964
STREET= 11817 E:. VALLEYWAY h t V C.
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE 'Y .:25,1"0
MISCELLANEOUS I ,^';,•}.?0
MINIMUM FEE: ADJUSTMENT Y 4 .00
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/23/9.2 2986 35:.00
TOTAL.. DUE= ,00 TOTAL PAID= 35.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00 35 ,00 ,00
0
35,00 35.00 ..00
PROCESSED BY : DOMITRO!V IC#-I , ROBIN
PRINTED BY : DOMITROV ICH, ROBIN
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