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1992, 10-14 Permit App: 92008628 Sewer
SEWER/PLUMBING PERMIT APPLICATION FORM INFORMATION WORKSHEET JOB STREET ADDRESS: e �c 2 /1 CITY/STATE/ZIP: i OWNER: MAILING ADDRESS: (Street) CONTRACTOR: A1. -LOP., 5 ACTsy E (Street) MAILING ADDRESS: DESCRIPTION PARCEL NUMBER: V5� ga - d2G PHONE NUMBER: 9a.5- /o0 (City/state) (Zip) LICENSE NUMBER: fl AA.*-1010e5 PHONE NUMBER: c3R - 85O0 1415ba Sic'okANE WA- 99 (City/state) a (Zip) Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675