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2012, 04-25 Permit App BLD-2012-0479 Plumbing Fixtures
Aokane `� 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: Spokane Valley, WA 99206 Z svaHey(509)688-0036 FAX: (509)688-0037 PERMIT FEE: (� vennitcenter(alsookanevallev.ore Community Development Plumbing Permit Application ❑ Commercial © Residential SM ADDRESS: -I/) l%Q�Ore��a� ` e— V U/' e%/ & Building Owner Name: i Phone'>`--/ Fax: Address: City: tate: Zi Contractor SLG+ Name: Phone: Fax: Address: City: Stam: Zip: License No: City Business Lic: Contact/Project Manager: Name: Phone: ATMOSPHERIC TYPE VACUUM BREAKER OCASH O CHECK O VISA O MC Card# SIGNATURE: EXPIRES: VIN: CURRENT FEES AVAILABLE AT: hftp://www.spokanevalleY.Orq/ under the quick links for Fonns, Master Fee Schedule. http://www.spok=cMley.org(uplmdsICommunity_pevelopmmtlDocuments/Forms/Building/PlumbingP=itApplicationO4O3O9.doe