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1992, 10-14 Permit App: 92008853 Sewer
OCT 13 '92 11:00RM RON SLOAN FRX9Z84306 DESCRIPTION OuFG�-051 13'65 -2-1 SEWER/PLUMBING PERMIT APPLICATION FORM 2S-104 - 0,2S,104 INFORMATION WORKSHEET INFORMATION .AMOUNT 0`2 X55 JOB STREET ADDRESS: LP—LUMOING CITY/STATEJZIP: PARCEL NUMBER: SUBTOTAL $ OWNER:_ — PHONE NUMBER: _ ^� _ PEMIT FEE DUE MAILING ADDRESS: SIGNATURG�-� (Street) (City(state) (zip) CONTRACTOR: ALWAYS ACTIVE LICENSE NUMBER: Al WAYAot10bP5 West 1303 Broadway Avenue Spokane, WA 99260 (609)656-3675 -------------------------------------------------------- PHONE NUMBER: 9aQ- 8560 MAILINGADDRESS:—__ 1�-.O•�ipK lNl5bd SPf�EANE WA 99a1U (Street) (Citylstate) (Zip) DESCRIPTION OuFG�-051 13'65 X EACH UNIT —.`(VI� .AMOUNT X55 LP—LUMOING �5;.aa'� SUBTOTAL $ EQUALS: TOTAL ^� _ PEMIT FEE DUE SIGNATURG�-� _ Spokane County Department Of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (609)656-3675 -------------------------------------------------------- SEWER CONNECTION X 50.00 = PLUMBING ALTERATIONS X 35.00