1987, 04-01 Permit 87000810 Plumbing Fixtures _~~ ��KANE ����UNTY ��EPARTK0ENT0FBUALDUNK� ��ND SAFETY
,
NORTH 811JEFFER8ON
SPOKANE.WASH|wGTON 99260
(509)458'3875
Icertifythatl have examined this permit and state that the information contained in A and submitted by men my agent to comole said permit
ov,m `o In addition, / x�e�udand understand the NOTICE pm,iu/onomvm000 herein and vnmem*nmm with same. All provisions of laws and
o,umu--um ommrn/�n this type m work will m,complied with whether wmmouxommomotT»oomnnnovapo,muu000nmpmaumomo/w,authority
to violate or cancel the provisions of any state or local law reguhting construction or the performance of conshuchon.
SIGNATURE OF AppuoAT/nw
OWNER onAGENT oxTs
PROJECT NUMBER= 870008iO
DATE= 04/01 /87 PAGE= 0i
**************************** PERMIT INFORMATION ****************************
SITE %TREET= 122 N EVERGREEN RD PARCELO= i4543-92i6
ADDRE%%= %POKANE WA 9906
PERMIT U%E= 4 PLUMBING FIXTURES
PLAT*= 999999 PLAT NAME= RANGE
BLOCK:--: LOT= ZONE= AG%UB DIM= F
AREA= 00000000 F/A= F WIDTH= DEPTH:::: R/W=
0 OF BLDG%= i 0 DWELLING%= i
OWNER= CLAYTON, JACK K . PHONE::::
%TREET= i22 N EVERGREEN RD
ADDRE%%= %POKANE WA 9906
CONTACT NAME= BILL PULLIAM PHONE NUMBER= 509-467-4000
BUILDING SETBACKS : FRONT= LEFT= RIGHT= REAR:--::
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= UNITED PLUMBING INC PHONE= 509 467 4000
%TREET= 55 E LINCOLN RD i02
ADDRE%%= %POKANE WA 99208
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ------------
PROCESSING FEE Y i5 .00
i
TOILETS 4^00
%INK% i 4 .00
SHOWERS i 4 . 00
FLOOR DRAINS i 4 .0O
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT:::: PAYMENT AMOUNT
04/01 /87 i093 0 ^ 00
------------
TOTAL DUE:::: . 00 TOTAL PAID= 3i .00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
PLUMBING PERMIT 3i .00 0 .0O .00
------------- ------------ ----------------
3i .00 3i .00 .00
PROCESSED BY : WENDEL , GLORIA