1992, 10-27 Permit: 92009407 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
VOt
PROjECT NUMBER= 92009407 ISSUED PERMIT DATE= 10/27/92 PAGE= 01
k rt****.)c.. ri k}f•a A*3?•)6**ii•#***•** PERMIT INFORMATION **);•)t)t it*••h.•**m•)t)E)t***)E)+i it)r)E)E)E)i•ii•*)r
SITE T STREET=ET 12415 L 19TH AVE i FtRC;LI...O= 45272.2521
ADDRESS:::: SPOKANE WA 99216
PERMIT USE= PLUMBING REVERSAL
PLATO= 001222 PLAT NAME= HILLCREST ACRES I S ADD
BLOCK= r3ZONE= t., . .. t ;,T a.....
4 O Ft f.-D i" S=., DWELLINGS= WATER DIST
OWNER= WE:I L...DER PHONE=
STREET= '! ?•41 .r..> I:" 19TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT • ( I . H & CONSTRUCTION P OJ " NUMBER= _ 09 926 8964
BUILDING SETBACKS : FRONT=... NlA LEFT=::: NirA RIGHT= N/A REAR= N/A
)i)+:*•b:ri•)i k*•b:a:)t i•i+:ii• .••)+:)+::ri••N•h:•)t• .•*Y+:it•)i•**)i• PLUMBING PERMIT *u)i •){•)+:}+:•ri*)C•){•a•. )i$•*ni: •ii•Ai ::K i!•*: #•ie**it:
CONTRACTOR= it n CONSTRUCTION
PHONE= r 926 8964
STREET= Ci iV `ft [ YWA` AVE
ADDRESS= SPOKANE et 9906
ITEM DESCRIPTION QUANTITY FE:E AMOUNT
PROCESSING E"f::.1::. 7 .25.,00
M:f:_>(`=f:::f...f._R iv s:::IH t' i 6.00
MINIMUM FE:E ADJUSTMENT 4.00
. . .... .
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PAYMENT DATE Ri sC'E 1:PT„: PAYMENT AMOUNT
10/27/92 9r-A6 35 .00
------------
1O ! Al... DUE= 400 TOTAL PA.iD:::: 35:.00
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMtOUNT OWING
PLUMBING PERMIT 35.00 35.00 .00
35.00 35.00 .00
PROCESSED BY : DOM1:TROV1:OH , ROBIN
PRINTED Br : DOMITROVIOf'1; ROBIN
)F){)t•*)+.P:..*)l..)+.....A:*t:r::l•){)l-),.**H)l)t•*)k.P.•... THANK you •**N: