1992, 09-04 Permit: 92007264 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. ��,, �A-
SIGNATURE OF `c Cif .-��/ ( W,K DAPEICATION l�
OWNER OR AGENT
PROJECT NUMBER= 92007264 ISSUED PERMIT DATE= 09/04/92 PAGE= 0i
**************************** PERMIT INFORMATION ****************************
SITE STREET= 12317 E 20TH AVE PARC:EL4= 45272.2131
ADDRESS= SPOKANE WA 99206
PERMIT USE= PLUMBING REVERSAL
PLAT;µ 001222 PLAT NAME= HILLCREST ACRES 1ST ADD
BLOCK= 2 LOT= 15 ZONE= AGSUB DIST4= F.
AREA= F/A= F WIDTH= DEPTH= R/W=
4 OF BLDGS= 1 4 DWELLINGS= 1 WATER DIST =
OWNER= COOK MAX PHONE= 609 927 8256
STREET= 1230 E 20TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= TRIPLE S PHONE NUMBER=
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= TRIPLE S CONTRACTING PHONE= 509 927 8256
STREET= 11322 E BROADWAY AVE
ADDRESS= SPOKANE WA 99206
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
MISCELLANEOUS 1 6.00
MINIMUM FEE ADJUSTMENT Y 4.00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
09/04/92 7377 35.00
TOTAL DUE= .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00 35.00 .00
35.00 35.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************