1992, 12-09 Permit: 92010809 Plumbing Reversal SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 130% BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
I certify that I haveeeamined this permit/application,state that the information contained in it and submitted by me or myagent tocompile said permit/application is true
and Correct. and authorize Spokane County to proceed with processing In addition, I have read and understand the INSPECTION REOUIREMENTS/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 Celli'cafes 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 OF APPLICATION
OWNER OR AGENT __ _ DATE ---
PROJECT NUMBER= 92040809 ISSUED PERMIT DATE= 12/09/92 PAGE= 01
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10914 E 34ST AVE PARCEL4= 45283 .5423
ADDRESS= SPOKANE WA 99206
PERMIT USE= PLUMBING REVERSAL
PLAT::= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR-3.5 DIST4= F
AREA= 00043000 F/A= F WIDTH= 100 DEPTH= 130 R/W=
4 OF BLDGS= 1 4 DWELLINGS= 1 WATER DIST =
OWNER= HOOD, DICK PHONE=
STREET= 10914 E 31ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME=.. COURCHAINE EXCAVATION PHONE NUMBER= 509 924 5485
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= COURCHAINE CONSTRUCTION PHONE== 509 924 5485
STREET= 16402 E VALLEYWAY
ADDRESS= VERADALE WA 99037
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PROCESSING FEE Y 25.00
MISCELLANEOUS 1 6.00
MINIMUM FEE ADJUSTMENT Y 4 . 00
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/09/92 1418 35.00
TOTAL DUE= .00 TOTAL PAID= 35.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PLUMBING PERMIT 35.00 35.00 .00
35.00 35.00 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVI:CH, ROBIN
******************************** THANK YOU *********************************