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2007, 03-13 Permit App 07000780 Plumbing Fixtures_ �/� Permit Center 11707 E Sprague Ave, Suite 106 �%1je3' Spokane valley, WA 99206 PERMIT NUMBER: �"J (509)688-0036 FAX: (509)688-0037 S Community Development www snokanevalle ore� PERMIT FEE: .I I Plumbing Permit Application 0 Commercial I Residential SITE ADDRESS: Building Owner - jJ4 C` Name: Phone: Fax: Address: City: In 11A jivi State: Zip: z Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: Phone: AUTHORIZED SIGNATURE: REVISED 8/26/05