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1993, 09-14 Permit App: 93008350 Sewer PERMIT APPLICATION3- S3 SEWER/PLUMBING FORM a INFORMATION WORKSHEET JOB STREET ADDRESS: E. 14715 16th Veradale 4 " I 6159125 i o CITY/STATE/ZIP: Wp. Agn37 PARCEL NUMBER: Ve rada OWNER: Leonard H. Sohn Gnn— PHONE NUMBER: 9 2 7-'93-----_ MAILING ADDRESS: 'a :• - _ (Street) (City/state) (Zip) CONTRACTOR: Al.t t) `IS AC?!v E LICENSE NUMBER: A A 5�10(oP5 PHONE NUMBER: +moo �o>L /415ba S4PokAN€ Wft 99.D14 MAILING ADDRESS: (Street) (City/state) (Zip) X EACH 9� DESCRIPTION \X".UNIT =AMOUNT SEWER CONNECTION X 50.00 = II M PLUMBING ALTERATIONS X 35.00= SUBTOTAL EQUALS: TOTAL 50 . 00 PEMIT FEE DUE =.$ SIGNATURE A, 4.4. L. ,k—Spokane County Department of Buildings West 1303 Broadway Avenue Spokane, WA 99260(509)456-3675 89x31 1D:TuiI TER LOCATION. TEL NO:20�i, 239 5461, t$146 • 03 P01 • oaddlag« REGISTRATION VERIFICATION osagoarjiN ieodo• ►, • • Zaps W' 9$04414.10 � (104 9364236 ICAN 204226 PAX 606)950422$ pt* `neaps- . Ts— 'L Contractor: Your Certificate of Registration will be sent from the Olympia office and withinshould be recolvcd 2 to 3 weeks. Pleas keep this record wndl you receive your • 'ARA you woo= legeneeee v ool eo 413 C1Q Z5 . 1-1 3 6 6