Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1993, 07-01 Permit App: 93005352 Sewer
SEWER/PLUMBING PERMIT APPLICATION FORM INFORMATION WORKSHEET q.s `3 0\-5-s • JOB STREET ADDRESS: 9.7 5 6;w -we IC CITY/STATE/ZIP:.$P ' /- /11/ PARCEL NUMBER: MAILING ADDRESS: Sff/✓/F OWNER: _ PHONE NUMBER: ?_22 6 (Street) (City/state) (Zip) CONTRACTOR: ALL1n`IS ACTIVE LICENSE NUMBER: ALWAYAQ.40&be5 PHONE NUMBER: 9 aa'85OO MAILING ADDRESS: 0.O. —en( ly 15!o a $ POkANE WA 99a I / (Street) (City/state) (Zip) DESCRIPTION SEWER CONNECTION PLUMBING ALTERATIONS SIGNATURE Z% X EACH UNIT =AMOUNT X 50.00 = X35.00= !SCIBTOTAL $ EQUALS: TOTALp PEMIT FEE DUE =$ o 5-6 Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675