1993, 09-30 Permit App: 93009035 Plumbing Reversal45V14. /Szz\ti?)
SEWsER/PLU(NG PER IT APPLICATION FORM
INFORMATION WORKSHEET
LL. E.,13203 Guthrie
PARCEL NUMBER:
1-206-823-8180
PHONE NUMBER: 98034
L Kirkland, WA
(City/state) (Zip)
LICENSE NUMBER: fl L" A� A'f 1OIoP5
PHONE NUMBER: CIR 5500
Po. —ten( 1 }15 ba SPOkANE WA 99QQ
(Citylsiate)
JOB STREET ADDRESS:
CITY/STATE/ZIP: Pokane, WA
OWNER: John Moore
MAILING ADDRESS: 12721 NE 133rd P ,
(Street)
CONTRACTOR: LLON 5 ACM/ E
MAILING ADDRESS:
DESCRIPTION
(Street)
(Zip) -
Spokane County Department of Buildings
West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675
613s -19q
93-61038
RUG -10-'93 TUE 10:09 ID:LABOR & IND. SPGK,ANE TEL NO:509 324 2636 4E195 P02
'AUG -10-'93 TLE 09231 ID: TLMJRTER LCICA'TION. TEL N0:2%, 2,39 5461, #176 P01
Doputusi of —«
Oastreatar42taratioa bottom
PO for
Olympia WA 90.101 -44.10
• s.i
vt
REGISTRATION VERIFICATION
(201) 9364234
SCAN SWIM
MX (306)936422$
/b -L U ---°y '
5
pr 045- .c�' tn-- ►-ate j
Contractor: Your Certificate of Ragistradon will bo sett from the Olympia office and
should bo received within 2 to 3 wools. Please kap this record undl you receive your
C7oadfloato o[ Roa adon.
•a000 teslrasda m mm 443 7fiosrfi, you
CI OA