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1993 01-19 Permit App: 93000242 Plumbing FixturesPLUMBING PERMIT APPLICATION FORM 9 Le2 Information Worksheet JOB STREET ADDRESS: //O/ S, j 4 �, i j4' i � �X I2 Lco CITY/STATE/ZIP: IA) ,a ¶*,4/ /UJ PARCEL NUMBER: A4,44 c OWNER: J btJC-: rZouuAJ/' PHONE NUMBER: vZ 74-(oZl � og -�/-20-94968-Wonk MAILING ADDRESS: elk-)? 003 S �Ivn.4- g—LQ D-e-ert- 2912-K 1,0-J 7g006 (Street) (City/State) (Zip) CONTRACTOR: S -e / E LICENSE NUMBER: PHONE NUMBER: MAILING ADDRESS: (Zip) (Street) (City/State) DESCRIPTION TOILETS SINKS " SHOWERS BATH TUBS; KITCHEN SINKS DISH WA51-1ERS GARBAGE DISPOSAL CLOTHES WASHER UTILITY SINKS ELECTRIG;WATcam E FLOOR DRAINS PLUMBING WORKSHEET/FEE SCHEDULE BAR SINKS ROOF_DRA.INS LAWN SPRINKLER - FOR EACH BACKFLOW SEWAGE EJECTOR':; WATER SOFTENER UitliTtjklAtpr. DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 NUMBER OF UNITS X EACH UNIT = AMOUNT x 6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00= x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = 6, 60 J ‘.00 SUBTOTAL $ / 1 00 PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE 3760 = $ Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675