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1993, 06-16 Permit App: 93004619 Sewer
t45Z34k, 15I J - - V aktr SEWER/PLUMBING PERMIT APPLICATION FORM cf , t-tcl ct INFORMATION WORKSHEET JOB STREET ADDRESS: E. 14720 - 15th Avenue, Veradale, WA CITY/STATE/ZIP: Veradale, WA 99037 PARCEL NUMBER: OWNER: Michael/Candace McLendon PHONE NUMBER: 922-2813 MAILING ADDRESS: (Street) (City/state) (Zip) . CONTRACTOR: ALU)M5 ACTIVE LICENSE NUMBER: 1LW AY A*'iOCQP5 PHONE NUMBER: qda- 8500 MAILING ADDRESS: -Po. i.i415ba SlPOkANE WA. 99a 14 (Street) (City/state) (Zip) X EACH Ve,("D ` >t DESCRIPTION UNIT =AMOUNT b. I 20 L ,ri 1SEWER CONNECTION X 50.00 = 50. 00 G PLUMBING ALTERATIONS X 35.00 = E7-c-. 1A//0 BIK.s BTOTAL $ // EQUALS: TOTAL PEMIT FEE DUE =$ 50. 00 /),SIGNATOR' Spokane County Department of Buildings ... QnnI,onn We QQ9Rr1/FnQ1d5R-RR75