1992, 10-09 Permit: 92008653 Plumbing Reversal SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SP,QKANE,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 Q5-` . APPLICATION 9 C)
OWNER OR AGENT �`/'X /✓ 4/3DATE [ /
PROJECT NUMBER= 92008653 ISSUED PERMIT DATE= 10/09/92 2
3{•*****3i3i •3i*k3{b•*****3i3i*3iii**3i•* PERMIT INFORMATION ***it3iR&**3****3l•3t3k*3k****3{*3l3k3{3i
SITE STREET= 16811 E 15TH AVE PARCEL4= 45234. 1414
ADDRESS= ti E::RADAL_E WA 99037
PERMIT USE= INTERIOR PLUMBING ALTERATION FOR. SEWER
F:`1...AT'0=': 000368 PLAT NAME= CHERRY ACRES SUB
BLOCK= 4 LOT= 14 ZONE= UR--3.5 DIST::== F:
AREA= 00000000 F'/A= F:' WIDTH= DEPTH- Fi;"y1=
0 OF BL.DGS== 1 0 DWELLINGS= I WATER DIST =
OWNER= BURRI:SL REX D PHONE- 509 926 1283
STREET= 14811 L 15TH AVE
ADDRESS= VERADALE WA 99037
CONTACT NAME':- REX BURRI:S PHONE NUMBER= 50 926 1283
BUILDING SETBACKS : FRONT=:: NA LEFT= NA RIGHT-:: NA REAR= NA
*3i••xi 3i•3,:31•*3i•3t•3t•3i•3i**.A 3:•3i•*•3t•3t Yt ii*it it**ii 3e PLUMBING PERMIT 3t ik#ii•3E •3t 3i•3(•3t 3k ih 3i 3E#3{•#3+:3i 31.3c 3i*3<•3:•3i•3k*3A 3c
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE i' 25.00
MISCELLANEOUS I 6.00
MINIMUM FEE ADJUSTMENT Y 4..00
3(3i•*3!'3(*3A*3i•3E***#3i•****itii:*3i•3i•*3i•**3i•** PAYMENT SUMMARY ******* ****3*************** •
PAYMENT DATE RECEIPT : PAYMENT AMOUNT
10/09/92 87"6635.00
............_9999....._._9999.._9999......
TOTAL. DUE= .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT" AMOUNT PAID AMOUNT OWING
_
__..0Y0 35.00 ___..___
PLUMBING PERMIT 35 ..00
35.00 35,.00» .00
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATT'O
3i a•3i• •3E*****hi3i•**3i•*3i3i3iii*3s•3t•aa*3t•3t•:*R3ib• THANK YOU *;t•*ie3R3i• • • 3c•*3A***3R3i**••*3{**** ****3t••R•