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1992, 09-25 Permit App: 92008081 Sewer
SEWER/PLUMBING PERMIT APPLICATION FORM as-��� INFORMATION WORKSH ET ,o9L JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: MAILING AD. -FSS: . 1 ' OWNER: " PHONE NUMBER: �,-�. �/� - / (Street) (City/state) (Zip) CONTRACTOR:`ice_✓� LICENSE NUMBER:(City/state), lye.ST /9'2/1// PHONE NUMBER: / MAILING ADDRESS: /?e ax /y? 2- S� '`rj 43W�G/ (Street) (City/state) (Zip) X EACH EP 5 r � DESCRIPTION UNIT =AMOUNT SEWER CONNECTION X 50.00 = PLUMBING ALTERATIONS X 35.00 = SUBTOTAL $ EQUALS: TOTAL PEMIT FEE DUE _$ SIGNATURE Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509)456-3675