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1992, 07-08 Permit App: 92005091 Sewer
SEWER/PLUMBING PERMIT APPLICATION FORM '';, f� INFORMATION 'C;RKSHEET JOB STREET ADDRESS: X_ .‘�� 0// -5 /'- / ,' d S s...) �4� PARCEL NUMBER: , CITY/STATE/ZIP: c� OWNER: ��^� /0/17.3Li PHONE NUMBER: c cP/- 0b 7 y\„.MAILING ADDRESS: J #7.11`..," (Spet) (City/state) (Zip) CONTRACTOR: // n 5 l'Grt-)7 LICENSE NUMBER: //S GUn 1,) 3 X` %) , PHONE NUMBER: MAILING ADDRESS: /, (Street) (City/state) (Zip) \, X EACH DESCRIPTION UNIT =AMOUNT/ (SEWER CONNECTION X 50.00= 0r PLUMBING ALTERATIONS X 35.00 = ( SUBTOTAL $ UALS: TOTAL MIT FEE DUE =s Jr 4 SIGNATU 1///': 4474 Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260(509)456-3675