2011, 01-05 Permit App: 11000020 Piping^ Permit Center
I1703 E Sprague Ave, Suite B-3 I / C PERMIT NUMBER:
Spokane Valley, WA 99206
j�alley' (509)688-W36 FA : (509)688-W37�� PERMIT FEE:
Community Development "1C°sonkanevallev.ora
Mechanical Permit Application ❑ Commercial -Residential
SITE ADDRESS: 0-5 Za E `t1 r%AUE SPokaw�. &)A `79z1z-
Building0rrner
Name: K
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Phone: ,l ._ Z4 35 i1 Fax'. 32L 31/?
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Bcale: w A- Zip: CY1147
License No: CC -c&- KL
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Contact
Name:jLAV�
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Phone: so9 _ 3 7a -101
AUTHORIZED SIGNATURE:
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