1991, 09-17 Permit: 91005960 Bathroom SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(504456'3875
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 Sx County to proceed with processing. In addition, I have read u understandm 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 thanrovisions of any state or local law regulating construction,or as a warranty of conformance with the provisions ot any state or local
laws regulating constructi .
SIGNATURE OF APPLICATIONA0Z, /7 /4F9
OWNER OR AGEN DATE
PROJECT NUMBER= 91005960 ISSUED PERMIT DATE= 89/17/9i PAGE= Oi
****************** ********* PERMIT INFORMATION ************ ***************
SITE %TREET= 11319 E 30TH AVE PARCELO= 28543-48i5
ADDRE%%= %POKANE WA 99206
PERMIT U%E= BATHROOM IN BASEMENT
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 48 LOT= ZONE= UR-3.5 DI%T�= F
AREA= 00000000 F/A= F WIDTH= 97 DEPTH= 130 R/W= 70
4 OF BLDG%= 2 4 DWELLINGS= i WATER DIET =
OWNER= WERNER PAUL D PHONE= 509 928 6579
STREET= 11319 E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= PAUL D WERNER PHONE NUMBER= 509 928 6579
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- --------
PROCESSING FEE
FEE Y 25.00
TOI ET% i 6.00
INK% i 6.00
HOW ER% i 6.00
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
09/17/91 6610 43 .00
,
TOTAL DUE=DUE= .00 TOTAL PAID= 43.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
PLUMBING PERMIT PERMIT 43.00 43.00 .00
------------- ------------
43. 00 43,00 43.00 .00
PROCESSED BY : JULIE %HATTO
PRINTED BY : JULIE SHATTO
******************************** THANK YOU *********************************
]
}