1992, 06-05 Permit: 92003637 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 theinformation 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
PROjECT NUMBER= Y J i:?!;?,.".,",,:'., ,• ISSUEDPERMIT DATE=r.:• 06/05/92 PAGE= 01
•.
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SITE STREET= -12 -?:..... !... 19TH A>,!... ! A•e?'4I_:t...?....tt....• 27542-2136
ADDRESS= ,..."S»IKA •kE WA 9 I`'`! 6
PERMIT USE= PLUMBING REVERSAL
PLATO= ?•`!t:,JV + PLAT
..i t'••J t:t, CONVERTED ...•;••'. I .r DATA
LOT=i = t1 fit•'= SFR D •C,T
AEt!...{.:!:::: 00000000 ! A= !.. WIDTH=,•t.._ } DEPTH= 125 R/W=
-!!' OF!" .t:;! .i1 G,.:.... ! .,,• ,t,J{xt?::.i...i....?.N t..r E:::: 1 WATER D IET ....
OWNER=E:.I',:•:: L.L, :VI_.1_A ,,.:••.,, ,-. PHONE=
ADDRESS= "!`# KANE WA 99216
CONTACT @A . _ T ? 1
CONSTRUCTION PHONE I'•at,.k?'ti•s?::.?•:,.... 509 927 6760
BUILDING SETBACKS : FRONT=... NrrA LEFT= N/A RIGHT= NSA t;EAi. N/A
3 ; } PNi7v P} f G}4 l } 7 k} i! A } P : t arv p i ,„ PERMIT /'' ? F Pi} } } i } i 7l11Y ! 1 !
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CONTRACTOR= TLC CONSTRUCTION PHONE=t!'a,?::.' J:•' r� f •"} 141t:J
STREET= 13016 i::. 12TH AVE .. .. ..
ADDRESS= SPOKANE tit'.. 99216
ITEM DESCRIPTION I,'1 Y•iN 1' • • i:'':'E AMOUNT,.'I-•i +j•"
PROCESSING FEE
MISCELLANEOUS 6,00
MINIMUM FEE ADJUSTMENT 4 ,00
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
... ri i.'1 35 ,00
00
TOTAL DUe : ,00 O A! PAID= .............................35
, i0
PERMIT TYPE . • AMOUNT AMOUNT PAID AMOUNT OWING
!"?...U M;:t.?.?`•2 t_r !"i::.?'t?!s. ! :n•::% >t-t t j :.".•...• .: ,?(:) : .t;J
BY :PROCESSED t,; t,tt"t!'•!.i. ? !7`.t..?4 !tfOH ROBINROBINPRINTED' .i:F Y : .l•'c:i?'!.?._i E'•.S.$v.t.t.:H t ROBIN
*J : : :*: :7 RJ: t ;..: xt NN : { 7: :(n . :3y .. THANK
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