1991, 11-01 Permit: 91006451 SewerSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(5091456-3675
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
FSOACT Nd"CR- 91006451 i.` AHM PERMIT DA I = i "Gi V Fvrpl 01
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IT'ITM DE:SCRI:F'TION G!LIANTITY FEE AMOUNT.
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Pr, MI. -DAT(:' !RECE:(FTO PAYMENT AMCJI.IIJ�
ii/Oi%91 0264 90,00
TOTAL DUE- .00 TOTAL F'A:ED= `>¢r, O
i:RMT. FYPE: -E:'e' AMOUNT AMOUNT F'ATD AMOUNT OWING.
1 CG: ! hrGT T 70.ff>0 sn, 0t'i �00
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PR INT'E.b ErY: JUI..IE SHATTO
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