1992, 12-07 Permit: 92010692 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 information contained in it and submitted by me or my agent to compile said permit/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 �� uucj APPLICATION / -6 7. 94,
OWNER OR AGENT - '7
DATE
VOID
PROJECT NUMBER= 92010692 ISSUED PERMIT DATE= 12/07/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 13209 E 12TH AVE PARCEL4= 45224. 1224
ADDRESS= SPOKANE WA 99216
PERMIT USE= PLUMBING REVERSAL
PLAT4= 002753 PLAT NAME= VERA
BLOCK= 2 LOT= 11 ZONE= UR--3.5 DIST= F
AREA= F/A= F WIDTH= DEPTH= R/W
4 OF BLDGS= i DWELLINGS= 1 WATER DIST = VERA
OWNER= JONES, MARK & LOS, TINA PHONE= 509 924 0412
STREET= 13209 E 12TH AVE.
ADDRESS= SPOKANE WA 99216
CONTACT NAME= MARK JONES OR TINA L..OS PHONE NUMBER= 509 924 0412
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE _--- Y 25,00
MISCELLANEOUS 1 6.00
MINIMUM FEE ADJUSTMENT Y 4.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RE.CEIPT4 PAYMENT AMOUNT
12/07/92 985 35.00
TOTAL DUE= .00 TOTAL PAID= ------- 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00 35.00 .00
35.00 35.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************