The URL can be used to link to this page

Home My WebLink About1992, 12-11 Permit App: 92010860 Plumbing ReversalSEWER/PLUMBING PERMIT APPLICATION FORM (Z OO INFORMkfION WORKSHEET Baas PARCEL NUMBER: JOB STREET ADDRESS: CITY/STATE/ZIP: MAILING ADDRESS: OWNER: -1 , CONTRACTOR: 1 Q PHONE NUMBER: (Street) (City/state) LICENSE NUMBER: 9//1' PHONE NUMBER: y MAILING ADDRESS: /� 9S /1' (Street) (City/Ttate) (Zip) DESCRIPTION SEWER CONNECTION PLUMBING ALTERATIONS X EACH UNIT =AMOUNT X 50.00 = X35.00= SUBTOTAL :21,— 00 $ EQUALS: TOTAL PEMIT FEE DUE =$ 3‹ DC.D SIGNATURE. ---e) fILA Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675