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1985, 06-13 Permit: 00005933 Plumbing Fixtures
SIGNATURE OF APPLICATION OWNER OR AGENT DATE ''1h&Sflsk. HOLMAN RD ROTH, GARY W IRT7 ADDRESS 1 UVOKANE "WA ,IP99206-0000 Rrt°R"7S PLUMBING Ven PLUMBING Mr 3874 WOKANE `TWA '99220-0000 N09--534-4090 OtrrPH163DT .R<rv�erv�IrveeP: CIT,. sT: Zlv: M44%1107 <erveus ra: rvc.e<ron. InT019 LOTttr 002 FINAL i`Lt ."Z 1ST ADD NC3UB 0'✓0 Yen O W25 "« Th°YIWORES roti rr t HOLMAN RD Tbx6327 "Te06/13/8 "x0005933 Plumbing Fee $66.00 $66,00 PAID B NC PLANS CAA Yt6713/85 PLUMBING PERMIT PLUMBING TOTAL. FEES $66.00 Processing Fee Y Misc Fee Desc Amt $0.00 fee: $10.00 Fixtures: Bar sink 01 Drinking Fount 0 Fir• Drain 0 C/W Pipe 01 s Dish Washer 0 Gabage Dsal .0 Ktchn snk 1 Lndry tray Sew e,,i7c:t 0 Urinal 0.Wtr clset 03 Lava 04 Shwr 01 Tub 02 Bidt 0 Oth 0 fee: $52.00 Electric water heater 1 Drains -roof 0 fee: $4.00 06:;13':85• 288,05 *66.006 OFFICE COPY