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2012, 09-13 Permit App: BLD-2012-1588 Plumbing FixturesSOMane 4;00valkyl Community Development Permit Center 11703 E'Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 PERMIT NUMBER: PERMIT FEE: 41?©Vwe Building Owner - Name: 4�• t AGO r� r 0 Fix: 1 )hono: 7- ZU Address: 3 C'g ( , /"/ ; - F — city: -5 State: Zip: Contractor Name:Phone: 0 C/ Fa -x: Address:X.�qYeiAve C i I V: e y State: Zip: 7- 7 'z License No: City Business Lic: Contact/Project Manager: Name:%'//�qr Phone: OCASH 0 CHECK 0 VISA 0 MC EXPIRES: Cardft SIGNATURE VIN PACOMMUnity Development\02 Administration\03 Forms - Official VersionsWernlit CenterTlumbing Permit Application 04-03-09 dg.doc