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1992, 10-14 Permit App: 92008868 Sewer
. OCT 13 '92-11:36RM FON SLORN FRX9234306 SEWER/PLUMBING PERMIT APPLI6CATION FORM INFORMATION WORKSHEET /✓ ,JOB STREET ADDRESS: CITY/STATE/ZIP: OWNER: ^' MAILING ADDRESS: (Street) CONTRACTOR: AL�yS CTIVE e /Iia J` MAILING ADDRESS: PARCEL NUMBER: PHONE NUMBER: (City/state) MP) LICENSE NUMBER:. A 11"" PHONE NUMBER: qa 5Co Jy19b SpokA c qqa P.4 ,` RZS'10 8 ggco8 ?esMl,5 er.2- SIGPSATURE Spokane „ Department of Buildings - _ - -------- _Y____- West 1303 Broadway Avenue Spokane_ WA 99260 (609)4564675 _------------------------------------------- -`__+_