1992, 10-21 Permit: 92009134 Plumbing Reversal SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,'WAtHINGTON 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT Ni "3 : i = 92009134 ISSUED Pf " " J1 DATE= ' 4 . 1 '9: PAGE., 01
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SITE t R.. .. • 11310 E 30TH V.. FARCEt;'.
ADDRESS= SPOKANE WA 992 06
6
PERMIT USE=
:n : r , "B. r REVERSAL E Ev ;t .
f i. A •l1..... 000000 PLAT NAME= UNKNOWN
BLOCK= LOT== Zt_ !'di::,�:: f1G,:ii3B DIETO=
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AREA= {:%!;j{.1=;11;JI.y1; 0 t ;t.= i.. WIDTH=3 t••,:::: }•:,:,'t.,t=
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•f,• tti.. t:l...i%i.r�:•.... } .i,. t%tx)e't...l. J.?''?�.rS.... .10 WATER DIST ....
OWNER= • I1It ' ; EDWARD } PHONE=: 5 i9
928
....2.....
STREET= ii3iO E 30TH AVE
ADDRESS= SPOKANE 1,W{`? 9920
CONTACT Nt'•?it,...... i.:i..fi.?e°: I"i(••tINf::. EXCAVATION
Is
:- 2 h . 1
N '.n ?: NUMBER=
tM. � . .; : 924 48
BUILDING � iSETBACKS : - !„ : - . N/A LEFT= N/A RIGHT= N/A "Et,:
N/A
/P4'i
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CONTRACTOR= t..:i l U t':l.:h f,.I.N t::. CONSTRUCTION PHONE= 509 j'f }` f 5485
t::. ArAi._F WA
ITEM DESCRIPTION QUANTITY t"..:.I::. r•??"tR.li.)i`•t i
PROCESSING FEE
MISCELLANEOUS t
MINIMUM FEE ADJUSTMENT ''; si.:!;jf.i
rk 9 4 { LiRi79 ) ii9 t? 9t ) 9J9 ! i { (N'! N " PAYMENT , l" " i
: T ***************** **** ***:k*
PAYMENT DATE t"•.E t_.•t::..!,t.: i •n PAYMENT f••?MOUN t
10/21 /92 3 35 .00
TOTAL t,1Ut•'.... .00 TOTAL PAID= 354' f•:
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT „00
35 .00 35,00 j;:j ..'.:j:.:j
PROCESSED BY : ?iIt"t.t._tROt:I {1; ROBIN
PRINTED B'f : DONT. i RO;:IiO •j , ROBIN
:iIN
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