1992, 10-30 Permit App: 92009604 SewerSEWER/PLUMBING PERMIT APPLICATION FORM
INFORMATION WORKSHEET
JOB STREET ADDRESS: I?/ Q z` g --c (-5,t 2 f t
CITY/STATFJZIP: ^ wk - L. PARCEL NUMBER:
MAILING ADDRESS:
OWNER:
(Street)
CONTRACTORS_
MAILING ADDRESS:
DESCRIPTION
gas- R317/
,01t004
PHONE NUMBER:
(City/state) (Zip)
LICENSE NUMBER: ALWA'fA+fipfoP5
PHONN I S/oaE NS PakM 1 WA
oo al
(Citylstate)
(Street)
(Zip)
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675
1L�ce.(o5