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HomeMy WebLinkAbout1992, 06-25 Permit App: 92004739 SewerSEWER/PLUMBING PERMIT APPLICATION FORM INFORMATION WORKSHEET JOB STREET ADDRESS: 7` — /8' CITY/STATE/ZIPS - G6 -1Q •PARCEL NUMBER: CfC-e--�� OWNER: '1 LL -e -67Z PHONE NUMBER: � � - 9Y' MAILING ADDRESS: r_��Z —� (Street) (City/state) (Zip) CONTRACTOR: CoueCH MNE EXCAVA Io 4 LICENSE NUMBER: COU e CC le e? PHONE NUMBER: qa9-54{85 MAILING ADDRESS: E. i4yaa UA-Lte /wA#y Ave YeeA1Ac.E tA/A 18037 (Street) (City/state) (Zip) CAZ- 6;1-5 DESCRIPTION SEWER CONNECTION PLUMBING ALTERATIONS X EACH UNIT =AMOUNT X50.00= 5-6) cz'-c' X35.00= SUBTOTAL $ 6-e) `'`=-0 EQUALS: TOTAL PEMIT FEE DUE _$ '_`' SIGNATURE /c._ e12-e-c,t Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675