1989, 12-06 Permit: 89005086 Water LineSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 4563675
I certify that I have a
addition. I h.. read
of any
SIGNATURE OF
OWNER OR AGENT
to v.j.a
F1a9wroAll-121
PROJIFC! NUMBER= w'005086 Cil
INFORMATri-IN
Ir- SIRIFFI= 6820 F Allil AVF F'ARCFt
ADDRESS:= SPOKANE WA 99212
PFRMIT U.TF.nn WAI 1: . R 11: NF
1=i... AT4= 002911S I'Ll,p)l NAME= 14MIT)l AWN DARK
4 1 i)T= 7nihir:= ()rstm DIST F:
A R 1, "'::° F 11 A= F WTDTI-4= 147 T) F P 114 ?i9 1:� I'll
OF FLDc'E=: DWFIA-INGE= i
OWNFF,— MANCFI.S(IN, F'ORFRT PHONP= 909 926
STREET= 64320 f . STH AVE
ADDRESS= SPOKANE-- Wo 99212
CONTACT NAMI I z:; PORI:::
RT MANGF1 SON F'IlllNF NIJMRFR= >09 94i -i
BUILDT.NG "'ETRACKS: FRONT:::: NA I FFT= NA RIGHT== NA REAR''= N' -'T
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CONTRACTOR= OWNER PH(lNF::!:
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MINTMUM FEE ADJUSIMIFMT
PAYMENT SUMMARY
PAYMI-Al DAYF'
12/06/89 6 167
TOTAL DIJE-z 00"TOTAL.. PA T D= ;35. 00
PER'MIT TYPE FEF AMIFWNT AMOUNT 1::,ATI) AMOUNT OW:I: NG
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:55. 00 0 () ()
PROC:EESED BY: STEVE HfILYF
PRA. N T F . 1) 13Y STFVF Hilt YK
Tll,)NK YOU