1990, 03-12 Permit App: 90000818 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/application,state that the information contained in it and submitted by me or my agent to compile m perm it/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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 980O0818 DATE= 03/i2/90 PAGE= Oi
APPLICATION
****************************** APPLICATION ********************************* [
SITE %TREET= 12625 E 12TH AVE PARCEL4= 22543-9i34
ADDRE%%= SPOKANE WA 99216
PERMIT USE= INTERIOR PLUMBING ALTERATION FOR SEWER
PLAT4= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= AGRI DI%T4= F
AREA= OOOOOOOO F/A= 7 ....... .... ,= DEPTH= R/W=
0 OF BLDG%= ,I!: DWELLING%= i
OWNER= HARROUN, MERNA PHONE=
.STREET= 12625 E i2TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= LEONARD — H & % PHONE NUMBER= 509 926 8964
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= H & S CONSTRUCTION PHONE= 509 926 8964
STREET= 1i817 E VALLEYWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- .......................................
PROCE%%ING FEE Y 25.00
MI%Cs,ELLANEOU% i 6.0O
MINIMUM FEE ADJUSTMENT 4.08
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------PLUMBING PERMIT PERMIT 35 .00 .00 35.00
------------- ------------ ----------- -
35.00 .00 35 .0O
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE %HATTO
******************************** THANK YOU *********************************
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