1992, 04-14 Permit: 92002493 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 APPLICATION
OWNER OR AGENT DATE
VOID
PROJECT NUMBER= 92002493 ISSUED PERMIT DATE= 04/14/92 PAGE= 01
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AVESITE STREET= 12425 E 19TH
ADDRESS= SPOKANE WA 99216
PERMIT USE= PLUMBING REVERSAL
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T4= 001222 PLAT NAME= HILLCREET ACRES 1ET ADD
BLOCK= LOT= 'ZONE= EFR DISTO=
AREA= 00000000 F/A= F WIDTH= DEPTH=
OWNER= VAN EKIKA PHONE=
STREET= 12425; F i9TH AVE
CONTACT NAME= ...:...i i i f:.'_:!.{.:! , IV!^ EXCAVATION PHONE NUMBER= 509 924 54S5
BUILDING SETBACKS : FRONt= N/A LEFT= N/A RIGHT= N/A REAR= N/A
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CONTRACTOR= COURCHAINE CONSTRUCTION PHONE= 509 924 5485
STREET= 16402 E VA? LEYWAY
ADDRESS= ;tI::.Rf'!!1i-...?::. v,f:€ 9903
ITEM t:'::.:-?.:?'ti:.. . .t.!N QUANTITY :i::.i.. AMOUNT
PROCESSING FEE
MISCELLANEOUS 6,00
MINIMUM FEE ADJUSTMENT 4 ,00
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PAYMENT-;'!»! i)h! . E RECEIPT4 PAYMENT AMi.iUN .
04/14/92 2... !'... 35.. . {;)
................................................
TOTAL DUE ,00 TOTAL; A$... PA...... " 35,00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35 .00 35,00 ,00
35,00 35.00
PROCESSED?:'.:: i,'t , DONI ? ROu.I.t.•?'i • ROBIN
PRINTED ... 'f . 333"..!.T1'',`1 •'. t..... ROBIN
. : i * . v j ( PE 3 1 • .P."t j : . :1 :Y {} ga1Nt THANK you :"P ( {P*4: : ii i:*j ^ i4** 1 '...p {*i : i