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1984, 11-08 Permit: 00003274 Plumbing Fixtures
SIGNATURE OF APPLICATION 0mNER0R"AGENT DATE JOB ADDRESS: ,=. °. DATE: ..."*. 1021 N SKIPWORTH RD 0003447 11/08/84 00003274 °°"""' HIMALAYA , HOMES Plumbing Fee $50 . 00 ~~~~"""' 104 S FREYA ST 203 SPOKANE WA 99202-0000 COLD SEAL MECHANICAL ""~=~"`~~' GOLD SEAL MECHANICAL ADDRESS: 13203 E FORREST "rr,' = SPOKANE WA 99216-0000 PH' LICENSE*' 509-924-3423 COLDSM*290C4 ARCH/ENGINEER: ~"~""= ""`' "" `°' '~^"~`°' "~~"""= '"==`~~' 165420921 0999 .=,~. LOT&BLOCK FINAL 000275 PTN 002 ""``=°= VALLEY MEADOWS SUB .~~.= ZONE =° "'` °', ~"~ MOD ACSUB 00[ 00( 000 000 USE OF PERMIT: FEES: PAID BY: = = CG NC 10 PLUMBING FIXTURES $50 . 00 X JOB ADDRESS: COUNTER APP: PLANS EXAM: DATE: 1021 N SKIPWORTH RD 11/08/8 PLUMBING PERMIT PLUMBING TOTAL FEES $50 . 00 Processing Fee Y Misc Fee Desc Amt $0 . 00 fee : $10 . 00 Fixtures : Bar sink 0 Drinking Fount 0 Fir Drain 01 C/W Pipe 01 Dish Washer 0 Gabage Dspsal 0 Ktchn snk 1 Lndry tray Sew e ct 0 Urinal 0 Wtr clset 02 Lava 02 Shur 01 Tub 01 Bzdt 0 Oth 0 fee : $36 . 00 Electric water heater 1 Drains-roof 0 fee : $4 . 00 0 o it ' -0 8 -8,411 8. 88 1 5 •* 5a11 6