Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1992, 10-27 Permit App: 92009370 Sewer
SEWER/PLUMBING PEWIT APPLICATION FORM INFORMATION WORKSHEET JOB STREET ADDRESS: CITY/STATE/ZIP: /26/5--77,E/ / MAILING ADDRESS: OWNER: L%ti %y / (Street) CONTRACTOR: 4. 7-717 6" PARCEL NUMBER: PHONE NUMBER: (City/state) LICENSE NUMBER: PHONE NUMBER: A-2_4 (Zip) frvx 5/4- / 06,a - 9�a —Ys`a o MAILING ADDRESS: (Street) (City/state) (Zip) DESCRIPTION SEWER CONNECTION PLUMBING ALTERATIONS SIGNATURE X EACH UNIT =AMOUNT X 50.00 = X 35.00 = SUBTOTAL $ EQUALS: TOTAL PEMIT FEE DUE _$ Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675