1991, 08-14 Permit: 91005017 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.
SIGNATURE OFAPPLICATION c
OWNER OR AGENT — DATE /% /ret/
`St: tNUMBER= 910050-17
: 0 , yi-1 ! i v : ± : PERMIT DATE= 08/14/91 • {. :{ " j
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. N + N ********:k** ********* ******
:::i. I :.. STREET= 11405 AVEFARCE L..0 2854:3-3 3 :;S
ADDRESS= SPOKANE WA 99206
PERMIT {I:::•2::.::: PLUMBING CONNECTION I"I.?I'°•. SEWER
I'`L..i•:{ I 0 c 001393 PLAT NAME= !<,t.!I.{...I"I t.. i t„I tql FQ `. 1, I J::.
BLOCK= ::i::i LOT= ;';I"J;-.... ,,,I••I•=,, Id y :i;:::::
DEPTH= 130 R/W=
00000000 F/A= F WIDTH= . ..
0 t•?L. :.,± I1I.a,:::::: .f 0 DWELLINGS= ; WATER I::.R I,i 3.<
OWNER— ANDERSON ;.:;..IONI::.::
ETREET= 11405 I:: 27TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT iME= ETAN ANDiR ; . PHONE NUMBER= 509 922 4594
BUILDING
? E : s :} B . : : : FRONT= y LEFT= NA I _ : NA REAR=
NA
j*a * A ( qj::*saPjjS * t j*a .. jjjji PLUmBINO PERMITy {. i } *. $. tj4* r*y .nji: j (**R*lt* ! :
CONTRACTOR= A It:.; CONSTRUCTION PHONE= 509 922 459:
-.., :.,..-E,...».. ,..,U .'{I_.!:t: 141557. is
ADDRESS= SPOKANE WA 99214
ITEM D L. . , ,.;°.I.: I 3,I I N QUANTITY FEE AMOUNT
PROCESSING FEE
MISCELLANEOUS 6.00
MINIMUM jiADJUSTMENT 4,00
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PAYMENT i{•'F I::. e".{::.i.:t... .! •,,• PAYMENT AMOUNT
08/14/91 5636
................................................
TOTAL IAL,, Itl tl"= „00 TOTAL i AL.. PAI D::r. 35.00
PERMIT TYPE L.E E AMOUNT A j"1 i?L.?N»I PAID AMOUNT OWING
PLUMBING •M r, 35,00
5 ...... .. .. .. ,00
35 .00 35,00 ,00
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PRINTED B s• : I..fp.'.•7 ..I::.F'i:�
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