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2008, 08-26 Permit App: 08003362 Plumbing Fixtures
Permit Center C `.".1�....e 11703 E Sprague Ave, Suite B-3 %I ley Spokane Valley,36FAX 99206 AJ , 9)686-0036 FAX (509)686-0039 Community Development rvrvry vmkanwall�_ Plumbine Permit ADDlication F SITE ADDRESS: PERMITNUMBER:S PERMIT FEE: [� Commercial ❑ Residential Building Owner a Namc: Phone: Q_ Address: Ciry: 5 t . Cantrado[ �� Name: Phone: Fax: Address: City : State: Zip: License No: City Business LIC: Cnnta¢t Name: Phone: AUTHORIZED SIGNATURE���C� Rewsep vacros j