The URL can be used to link to this page

1992, 10-27 Permit App: 92009420 SewerSEWER/PLUMBING PERMIT APPLICATION FORM INFORMATION W .LRKSHEET JOB STREET ADDRESS: 6 CITY/STATE/ZIP: OWNER: Q MAILING ADDRESS: 0 9,s qac" lel 2° ctucak PARCEL NUMBER: PHONE NUMBER: (Street) (City/state) (Zip) CONTRACTOR: COU&OHAE%CAYATiot LICENSE NUMBER: COLleCC i8 1-�7 PHONE NUMBER: Ge.)4"5-}85 MAILING ADDRESS: E. Ila1402 VAL-Leif R4 AVE VCrZapAL..E 14 cjgO37 (Street) (City/state) (Zip) DESCRIPTION SEWER CONNECTION PLUMBING ALTERATIONS SIGNATURE X EACH UNIT =AMOUNT u-0 X 50.00 = .''d X 35.00 = `3.J el' SUBTOTAL $ EQUALS: TOTAL FEE DUE s)-64-49,PEMIT _$ 62-ee-ti Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675