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HomeMy WebLinkAbout1991, 07-05 Permit App: 91003995 SprinklerPLUMBING PERMIT APPLICATION FORM Information Worksheet - JOB STREET ADDRESS: 44844-E. 9FRP44=P CITYISTATE/ZIP:—...Spokane , Wa. 99206 PARCEL NUMBER: OWNER: Sharin Thoreson PHONE NUMBER: 922-0722 MAILING ADD PiESS: _118.11 E. _Empire Spokane,_ Wa. (St, , e;) -'itylState) CO,' --RACTC'-.: self N U t: 1v1AfL1r4G ADDRESS: (Street) (City/State)- (zip) PLUMBING WORKSHEET/FEE SCHEDULE LAWN SPRINKLER ........................................ WATER SOFTENER ........... - SIGNATURE NUMBER OF UNITS - X EACH UNIT- AMOUNT. X6.00 x6.00 = x 6.00 = x 6.00 = x.6.00 x 6.00 x.6 00. x 6 0 X6.00 -6 -W 1.0 '00:--' x600 x 6.00 x 6.00:-= 7 77, SUBTOTAL" PLUS: PROCESSING FEE-' +S 25.00 EQUALS: TOTAL PERMIT* FEE DUE Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675