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1992, 10-07 Permit App: 92008541 Sewer
SEWER/PLUMBING PERMIT APPLICATION FORM INFORMATION WORKSHEET ' VC) JOB STREET ADDRESS: C. 133 I3 - I Zi-L - `a CITY/STATE/ZIP: Se6kr.,.a 14.70._ PARCEL NUMBER: MAILING ADDRESS: E. i i'3a3-2144,./ kc1..0 ,UArfi ciC2o1.0 OWNER: l..lcrcl� Sim# ,..c(t ,- PHONE NUMBER: q2A-3to93 (Street) (City/state) (Zip) CONTRACTOR: HES CoN372U.c1 ioki LICENSE NUMBER: HSCON.41',IE Ia3V.1 PHONE NUMBER: °I26-8944 MAILING ADDRESS: E 11817 1IALLEY1410 AVE SPOk+WNE WA 99a0f0 (Street) (City/state) (Zip) XEACH /45aa4 ( /311 DESCRIPTION UNIT =AMOUNT SEWER CONNECTION X 50.00= 1 So- PLUMBING ALTERATIONS X 35.00 = \i i25-0-- SUBTOTAL $ Sc- EQUALS: TOTAL PEMIT FEE DUE =$ Ste— SIGNATURE RD,._ `Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675