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2008, 02-26 Permit App: 08000766 Sewer,Feb 26 2008 11:02RM ADOKRNE#COUNTY#UTILITIES 4410178 02/26/2U ti n:41 bt]`Jli btl LkJ<INfillJN SEP 08 2004 10:49R0 HP LASERJET 9200 Spokane Comity Dirhsfoa of UtiGBco SEWER CONNECTION PERMIT APPLICATION FORM PLEASE NOM; This application fo.•i mat be heed au accunfll stirs in entirely, and signed, or vcnnhl wb now be Sued. Siow pernia sevalid �k asicat is or ham dw pubic neare&Wt7. for 12 vwada feet dio date 6(ia0.laeG A.ay.sra 6gpt-of'w.y mufti regrind for M pa'r Qf inneriOnpluenbies and electrical wilt sorbs spank posits IPROJfi UaORMATTON j'Y'I.MALWn 0, 4 E)UJ.1/-inAJ HO r E . • _ e -L Md PD 'f X 14114i of :'6POKAIO , 4 151 p.1 t'HGt b2/ pa P•2 • 0apa.ew. Scam • FIRST VMSOOHTittCR'ORSORROMBOWNBR8 Y!t SICmNCD;FIBSfOON1'ACL7HB p U'A71.f'_71tt4Ixn51oLtl iloopOQB magi)* WV Rs C aa2/7.�//Q v smeanio, jjee•ar..mso C �� ( 9 tAa IZ.P L7Dq S lerfalt ❑ Addbioa O Abandonment ilsisadwig 04; ([I Ccamaced 0 New 0 Tammany eeawa+a.eegia.e+ ,)C.r-f�VA'Citil.C� Suamaa ddsrq._ a %rao cn ke. Coma. Nese PSo4 Number _ '° . CI (to Q�y .. -.- INTERIOR PLUMBING ALTERATIONS, (� e Odle V (� Pit fart !tenth. 6. vfe&Akarfim� ._ • ff '' 0 Cooaty 0 Gey. a Spolpse Vilkg Comnctor (d®ffaad eons abort): Mous Ruci tno Add.ae Ciq/Swetrif E JNFORIAATION Morin of Hmlf-egitaoaDeE�ta sans x{Secs) itea fperlAF�=•/ I + i7d00= rostra must tor oa mar Tamar aandealeidy.stau it..entrei a gtquh4 ty .ae.a.d «Pse.r.mrpemai.!.!'^dvs.asn.Pe.+Bc • 1Stedwiwa4 sow* osis r8fearn.aplswabega.,.—/.W ds o W r•9a9e�� • Fs Side bimddpb. .binge t4p, rea.44 uga.d • &Saab bay 6v+onaskdaablewalss),M, tawwrhf. as p._ .dpi i ca ese'de area (PM antuatota NOT concemilteRS, GIS TIM COMM ID YLSt01't ap it:aAe 471$O01) Se sty of that ark to be remand in or dram the_p4blic tighe.of'way? 0 Yes iii No /Z . p `... 0 a' i, ofSpolnne VA". N8 13V2‘ AWUCANTSIGNATURE: Matted of Pmotet O Cosh 0 Y]lctk. • G via ' El'M.statClmd 0 Ikstaer Card DATE: Doty &pin By *c.id Numbed AithodaedSagas .. Spoken Canadadanamm