1991, 10-02 Permit 91004735 Plumbing Reversal SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY AVENUE
SPOKt4NE,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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
ISSUEDRROjECT NUMBER- 91004735 PERMIT
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SITE L:
-.fir ,.. 30TH
ADDRESS- SPOKANE WA 99206
PERMIT USE= INTERIOR PLUMBING ALTERATTAN FAR .c.!FwFR
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BLOCK= 48 LOT- ZONE= UR-3 .5 DISTO=
AREA- 00000000 F/A- F WT.DTH= 97 DEPTH= 130 R/W- 70
OWNER- WERNER, PAUL. D PHONE= 509 92f:;
STREET= 11319 E 30TH AVE
sPOKANE WA 99206
CONTACT NAME= DONNA COURCHATNE PHONE NuMBLi.,:.=
BUILDING SETBACKS : FRONT- NA LEFI - NA RIGHT= NA REAR= NA
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coNSIRUciiuN PHONE= 509 924 545
STREET- 16402 E VALLEYWAY
ADDRESS= VERADALE WA W9037
vHOOL,YSINU 25 ,00
MISCELLANEOUS 1 6 , 00
MINIMUM FEE ADjUSTMENT 4 ,00
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PAYMENT DATE RECEIPT4, PAYMENT AMOUNT
10/02/91 7165 35 . 00
TOTAL DUE- ,00
PLUMBING TOTAL PAID= 35 .00
PERMIT TYPE FFF AouNT AMOUNT PAU) AMOUNT OWING
PERMIT
35 ,00 35 ,00 , 00
PROCESSED BY : jULTE SHATTO
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