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1993, 10-15 Permit App: 93009871 SewerSEWER/PLUMBING PERMIT APPLICATION FORM q3-01-811 INFORMATION WORKSHEET g35 -g1,9 JOB STREET ADDRESS: 401 4 S WOODRUFF CITY/STATE/ZIP: SPOKANE WA 9 9 2 1 2 PARCEL NUMBER: OWNER: MILO HUBERT PHONE NUMBER: 928-2000 EXT. 305 MAILING ADDRESS: 401 4 S WOODRUFF SPOKANE WA 99212 (Street) (City/state) (Zip) CONTRACTOR: FORD ' S CONSTRUCTIONLICENSE NUMBER: FORDSCC094C5 PHONE NUMBER: 924-6182 MAILING ADDRESS: 9713 E 4TH AVE SPOKANE WA 99206 (Street) (City/state) (Zip) DESCRIPTION SEWER CONNECTION PLUMBING ALTERATIONS SIGNATURE X EACH UNIT =AMOUNT X50.00= 50.00 X 35.00 = SUBTOTAL $ EQUALS: TOTAL PEMIT FEE DUE =$ 50.00 Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675