1991, 05-22 Permit: 91002809 Plumbing Reversal, Fixtures Y..
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 theprov' ' ns of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
7.p
laws regulating construction.
SIGNATURE OF � APPLICATION .„2 �p9�
OWNER OR AGENT DATE
PROJECT NUMBER= 9: _ Lt _ ; ISSUED t7 {" II DATE= 1 • : 1 "A .-: 01
• :r.:;.:,;.:t.:t.;•.s;.:t.'c.x.a t:'..x.:c:::;.:'.a:a; •.:i•* PERMIT INFORMATION N • • 3:fti lt:•9k i?'9?•4t 4*:.*:)*::4',F 3`:':4..4t•P')?-.?'9?•'tk 9`:F.'k•t*r
SITE STREET= 10821
"8"ii 20TH
AVE PARCELO= 28542-4412
ADDRESS= SPOKANE WA 99206
PERMIT USE= •. vE: , ! fPLUMBING =liEYri + . r i ,i . i i : C , IN BASEMENT
PLATO= 002393 1•'#._f'! i NAME=j 1::.::_ ..:K ! '.L:.`hl ACRES 1ST A(i D
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BLOCK=t!..:It.... ... ! ,;..#r+l, :iSI.1B fU.f. 4 ! ,f..... F
00000000 t•• ;F';::-. t.. WIDTH=
, E } { DEPTH= ;; 1: 60
. l , s , T» _ t uDWELLINGS= ": WATER DIET _
OWNER= 1"t!..: RAE,. #... •_1 PHONE= 501 `s' 'f; 6688
STREET= 10821 1:. 20TH
,.,..,.
ADDRESS= i}1"OKANI:: WA 99206
CONTACT NAME= •. C R.
` RAE
,...
� •^: – ONi NUMBER=
L ' h6680. , f
BUILDING . . :6 : • FRONT= ? _FT: v s . Lr" i . J- REAR= NA
*****K***********************
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CONTRACTOR= OWNER #"HONE:::.
QUANTITYITEM DESCRIPTION
1'"1;•:01.:1::.,:':+'1.1•+!ix FEE 5: 00
.._,.,. •, :1 6.00
SINKS
SHOWERS
MISCELLANEOUS 1::.O1. :• t1!•:1
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PAYMENT DATE E RI::.L..t" I r' # O PAYMENT AMOUNT
05/22/9i 3140 49.00
0
..;..TA DUE=
00 TOTAL PAID= 4"y
.00
PERMIT ..,..•.t..t:. FEE#::. 1.:!#"€?.;t.;r'< i AMOUNT ;.....: AMOUNT OWING
PLUMBING PERMIT 49,00 4 >•' ,0:';} ...00
-------
49, 00 49...00 ,00
PROCESSED BY : .!t.t 1.E SHA # 1 `0
PRINTED BY ...........1.E SHATT`..?
. . f 1. } *i ,fpAp } U AP { . (. b F: 7tR'1CPPt } THANK : O **:k******************************
SPECIAL CONDITION CHECKLIST
Project •
Address: ____ - Project#w Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs.
---- — ---__ _ Special Insp.Final Report
Hydrant( )
Lock Box
Engineer's_.__.___ RID/CRP
Easements_
— --- __—_. Road Plans/Improvements
—_. Bonds
Planning___ Bonds
Utilities___ __ _ Double Plumbing_
U L I D
Other____-_
THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing: ____ . Plans pulled for final processing:
Temporary C/O issued.._____ — Certificate of Occupancy issued:
Office file review by: _____ . Date:. _
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _ Date:
Plans returned: -__.__-_.______ Received by:
No response from owner/contractor-plans destroyed: