2011, 09-15 Permit App: 11002883 Plumbing Fixturesne
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
permitcenter(er snokanevallev.ore
Community Development
Plumbing Permit Application
SITE ADDRESS: 5/0 i 1 F /1'\ r e
PERMIT NUMBER: I I - Zb d5
PERMIT FEE:
❑ Commercial rResidential
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Building Owner Ron 1. Oa r 5)0 be r Ne
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Name: 4, P one: ) -21 • clg / Fax:
Address: rr C_ ra b L.3v C City: State: Zip:
Contractor
Name: r` t 7 %^ Phone: 92C' .—! .Z 06 Fax:
Address: 7 / %