1992, 12-09 Permit: 92010806 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 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
VOID
PROJECT NUMBER:::: 92010806 T; S• EXPERMIT : ` Th= 12/09/92 Pfia+::,E:.:::: 01
iiiH i Ni hiari ►kri rii*i ** t a *i * i "( i` ) T INFORMATION 3w:•}i••bi•**x***•ii**Fi•a:n•n•ii•*9i•a ii••li ii•ii•ii•*di ii.
SITE >'i-RE F'I:-: 14903 1= 15TH AVE F ARJ":i:"I...•_gM:::: 45234. 1416
ADDRESS= VE:.RADAI...E. WA 99037
PERMIT USE= PLUMBING REVERSAL
•'i_.tA'tT•'"n::::: 002751 PLAT NAME= VERA
i.:<<...t.+CI.::_ 4 LOT= 16 ZONE= A(YRI DIET4=
AEA-- F:'/A= I' WIDTH= DEPTH= F:,/W=
OF :'•'i X` , i H: DWELLINGS= i WATER DIST •
OWNER= i)ORS:E:.Y• PHONE= 509 924 2657
STREET= 14903 F 15TH AVE
ADDRESS=:::: ' E:RfiDi• I...I::: WA 9903 r'
CONTACT ruAI'iI::::::: CC:I(IRC;Hft:I:HE:: EXCAVATION PHONE NUMBER= 509 92.4 5485
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
n •}i• • •*:1i•:tM ii•3 a•h ri• : •ii••N.•3k*ie#•h:l{•h:•ii•ii ik ii•tc F'I...1+r'i i:{is 1.1(x FE:R'.M i.T •}i•h:•}t*#*#ii**ii•*•ri**ti•*ik••*is**)i•**ii•ii•A•h:
CONTRACTOR= COUI'.t.iFlAINE CONSTRUCTION PHONE= ':i'y=r• 924 5495
STREET=:: 16402;3:: F:. 'i f-YI...I. I::. t Ireit Y
ADDRESS= .y E RADAi._E WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING I"'E:.F T 25,00
MISCELLANEOUS 6, 00
MINIMUM FEE ADJUSTMENT 4,00
•N•M.•*•H•** ?'**•H:*' **ik**ii•*?kii•it•**!i•7i•**3i•*Yi• F, Y FhI SUMMARY h*i4P
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PAYMENT DATE RECE:.:I:PT4 PAYMENT AMOUNT
12/09/92 1110 35 ,00
TOTAL ). UE .00 PAID= ..,r..
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35,00 35,00 : 00
r.
00 35 00 , 00
PROCESSED BY : DOtiITROV:I:CH , ROBIN
PRINTED BY : no its TRO+;:i:CH, ROBIN
x f!**a: •ii ri*ii ii*ii•fE ni•hi y{ii•k ii#i{i4 l{it•ii•yi•yi • THANK `'f o U • •**.ri ii-**is it*a r`ji di M •h:*i{