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2008, 03-10 Permit App 08000810 Wtr Piping
51�''e -� .;.osUalley Community Development Plumbina Permit Permit Center 11703 E Sprague Ave, Suite B-3 Spokane Valley, WA 99206 (509)688A036 FAX (509)688-0037 www.sookanevallev.ore SrrE ADDRESS: _ 8 q.2S Cyi, Ito, /d PERMIT NUMBER PERMIT FEE: Commercial �3 Residential Building Owner 9 Ph %L ET1x Name: L Phone: Fax: Address: E City: �1 State: 4.1 zip: 9 Z Contractor r Name: )2) 4 ^A Phone Z v/ Fax: Address: //t n/ CiTy: r` State: Zip:gPel License No: City B mess Lic: Contact D ' /G F.- Gl^Gi n,4. Name: Phone: AUTHORIZED SIGNATURE: C/ �_ ,V L/L/. Effective October 28, 2007 PXommunity DevelopmentTorms\Building formsTlumbing Permit Application.doc