1987, 04-01 Permit 87000810 InspectC1
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SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and .
correct. In addition, I have read and understand the 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. The granting of a permit does not presume to give authority
to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
PROJECT NUMBER= 870008it')
DATE= 04i0i/87
PAGE= Oi
.�..R. � .p .�..q..F. �k ),:.p..H. i6..lt: YS• •1(;fi• •!4- •1!' )k ![' •Y: ii' �ft• •}{ •f% �. �N: AP F f' M :I: T INFORMATION •N: �• :+t. }t• �• :�:• �E �!. •y,• ar :�• ri. �• �i..i,- •�m: •A. �F �• �• ��: ai• •;'. •:n :�
SITE STREET= i22 N EVERGREEN RD PARI:;E"L.•:„_.. i4543-9216
ADDRESS= SPOKANE WA 992iJ.
i''I:'RM'I:T USE- 4 PLUMBING FIXTURES
PLATO= 999999 PLAT NAME= RANG(7
BLOCK= LOT= ZONE= ,:ICY SUB D S T” »:-::
AF4E:'A:::: 00000000 }:- ;A= F: WIDTH=
. OWNER- CLAYTON, JACK K,
STREET= 1122 N EVERGREEN RD
ADDRESS= SPOkANF WA 192i6
P H i") N E :--:
CONTACT Ta3t: T NAMES = BILL F'{J1.. L IAM PHONE NUMBER 509-467-4000
BUILDING >E f"1:•sACK;; : FRONT= 1..EI:...T_= RIGHT= REAR.—-
PLUMBING
E:AR-:F'(..T.IMBLN1.•r
PERMIT
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l:ON.T.{v,A1:::.T.t:iR= UNITED PI./FJ1'1BING INC PHONE= 509 467 40 00
STREET= 55 E LINCOLN RD 102
ADDRESS= SPOKANE WA 99208
lTEiii DESCRIPTION
PROCESSING FEE:
TOILETS
`INKS
SHOWERS
FLOOR DRAIN9
C;1UANT'I:T`'r' FEE r1t`'SOUN 1
19 1 00
1 4 0
ry 4 , 00
N �? )t �S R i( r' :a ri b: >! h4 ,,r... jr..p, ..ii :. 'X. �! iE • •7, dt..,f. �;.
PAYMENT .iI. IMMAF'''r` y;..x. �e ae � 3i � � � .N.:a x # � a� ai � .x..x..R. ;� �..1; a� N ;�: �: •x
Phal`(ME"N'T '(?ATE RE::C:E:::I:F il:
04/01 /87
1093
PERMIT TYPE FEE AMOUNT
PI..UMBisNG PERMIT I i..�.00
_.
:r1 .0")
PROCESSED D Oy, , W! NDE::i_.. GLORIA
PAYMENT AMOUNT
31.0
TOTAL PAYD= 0,00
AMOUNT PAID rj('TC:UNT OWING
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