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1992, 10-14 Permit App: 92008863 Sewer
i OCT 13 I 32 11: ©2Ar i Ror-i SLOAN FRX9384306 SEWER/PLUMBING PERMIT APPLICATION FORM INFORMATION WORKSHEET -r .7 _•- ! • JOB STREET ADDRESS: CITY/STATE/ZIP: P.Pic U)c) OWNER: MAILING ADDRESS: (Street) CONTRACTOR:ACrIJE MAILING ADDRESS: DESCRIPTION 9;5- Mg 0\ -2_ lQ3 PARCEL NUMBER: PHONE NUMBER: (CItylstate) QIP LICENSE NUMBER:'A r.2A A,,t101oP5 PHONE NUMBER: qa" �9a —60X. )41Sb- SfOkAN¢ (City/state) (Street) (Zip) bON)PrLD P.1 Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3875 -----------------------