1992, 05-07 Permit: 92003199 Plumbing Reversal SPOKANE COUNTY DEP.*i'TMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(50*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 ' permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcanc the provisio so 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 I / APPLICATION 7 _?Z
OWNER OR AGENT V d��r DATE S
PROJECT UMBER== 92003199 ISSUED PERMIT DATE= 05/07/92 PAGE_. 01
************** •* •**x****** P'ERMI'T INFORMATION ****x* ************)tiF•R•R•)tlk***
SITE STREET=E .l 470::a I::: •i 4TH AVE PARCE::I... :�. 2:3544-1 :3=?_
ADDRESS== VERADAL.E WA 99037
PERMIT USE= INTERIOR PLUMBING REVERSAL FOR SEWER
PLATO= 003136 PLAT NAME== VERA CREST
BLOCK= LOT= ZONE::- AGRI DISTO= F
AREA== 0000 00 Fln== F WIDTH=:: 130 DEPTH= 90 F:/W=
OF B L..D C:S== 4 DWELLINGS= i WATER DIST
OWNER= POFFENBERGER , ROBERT L PHONE=
STREET= 14703 E 14TH AVE
ADDRESS= VERADALE. WA 99037
CONTACT NAME= ROBERT POFFEN}3ERGER PHONE NUMBER= 509 924 4003
BUILDING SETBACKS : FRONT== NA LEFT-: NA RIGHT= NA REAR= NA
u*kkkb:3t*h:**uk*** :•I{***11:***•X*fit•* PL..IIMI:{]:NG PERMIT ' k*• *:N.k*Mit****7l*it**)I**•*i4 :*•',i3***
CONTRACTOR= OWNER PHONE-
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
PROCESSING FEE r` -)x5,00
MISCELLANEOUS i 6.00
MINIMUM F E E ADJUSTMENT i' 4.00
** •air•• **a>** • • •** • *** * •• * PAYMENT SUMMARY ********* ***•** *•******3r.•ac•
PAYMENT DATE: RECEIPTO PAYMENT AMOUNT
05/07/92 3397 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 : JULIE SHATTO
PRINTED B Y : JULIE SHATTO
k Jl*a :R***ri*al**•A•***•a •****7h**•A:**Yi*•b• THANK YOU .*.*•aiatakat•aEae**p:aka{.R.:1'*.:u.: *****af;•P:i4.:p.:P:*at•Rh.•