1991, 08-21 Permit: 91005192 Plumbing Reversal •
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 137)3 E.?OADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application :ir'"e t , el - mation contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to,ce-• with .roce-.ing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comp ith :me.Al provisi.ns of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance. this p•rmit/ap•licat'• and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the prov.ions of a y state.r1.•. law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF j� APPLICATION Yit474(
OWNER OR AGENT 401., DATE
:Rnj- :- NUMBER= 9tl05192 ISSUED ': 4rI ( DATE= sy!x . ` Yl PAGE=
°:?;
)i•1.1t it••'r:'it•i i.•i.1.)i 1;.•'r•:•1.a:iE1.i+i: **)E*1.)i'ii•)E:t. PERMIT aNF> i ^T. } ti 9l)t:9t•9E*)E 1L•1.iE 1.Ji•4.1.1.1.1.i.i.)t*iE)r•***,(•)t•e;•
SITE ST" . _T_ 11422 E 23RD
_ ' tr Vr � }R - _ _ 2 45 4 .. 18r
:
ADDRESS= SPOKANE WA 99206 ,
PERMIT USE:= SE:WER`. REVERSAL
PLATO= 001393 PLAT NAME= KOKOMO •s t,,iwNSi•!E.
BLOCK= LOT= ZONE=
-. WIDTH=
( "if . } � }: # 5 : DEPTH=
1 hi:i #•<;W::::
DWELLINGS=OF 3= 0 #,r:;tit...t...i... ._N#Y;t._. t WATER.;:.R Jf.}.,k ! _::
OWNER= OWEN, ,?#,_#NAL..%% PHONE= 509 922 3025
_->
STREET= 11422 E 23RD AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RAY SHORT PHONE NUMBER= 509 928 2471
BUILDING SETBACKS : FRONT= NA NA RIGHT= NA REAR= NA
1.*a:.X ai ai ai ai ai 1.•Ai.: a:)ti)ti 11:2)t•ai)ti ai ai'Pia:•.R•)ti.: PLUMBING I'E rc` - .E.)tt).a:)ti)E)ti ai*)ti)ti 1.ai ai ai)t.•'ft:•A'!t*ai a:'Pi*ai 1.ai•R.:*
CONTRACTOR= " . _P . WEST MECHANICAL
:t :: eri1EP"! N} : }; s ",
- 2471
STREET= 9116 I::: I'ti A a r 1:. [?•�'�i...
ADDRESS= SPOKANE `WA 99206
ITEM IFS .il ` 1Oy QUANTITY i f FEE AMOUNT
7
PROCESSING# FEE ,....).4...m
MISCELLANEOUS
!"t.E.,s i. F I._E._AA#N L`:.O E.=S .E 6.00
MINIMUM FEE ADJUSTMENT Y 4.00
: 3S `N . .1 : : .. . .j . ....) ) tx PAYMENT SUMMARY * E) 144Y4
1 .FIi ) 1fiE) ) f .te3j ) . E
PAYMENT DATE R E iE I FAPAYMENT tiOUN
08/21 /9i .'}e 35.00
................................................
TOTAL DUE= 00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT it '#1•N
PLUMBING PERMIT -_9:%e,J i 35,00 „ 00
35:00 35 00 .00
PROCESSED B : WENDEL,N %LL; GLORIA
PRINTED B p` : WENDEL, GLORIA
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