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2008, 02-11 Permit App 08000365 Plumbing Fixtures
Permit Center O�san- e 11703 E Sprague Ave, Suite B-3 PERMIT NUMBER: 3 (pS ww Spokane Vallry, WA (99206 509) ''*pm (50 .Epok 036 FAX (509)688-0037 PERMIT FEE: Co Development www.snokanevalley.or= Plumbing Permit Application/ ❑ Commercial ❑ Residential SITE ADDRESS: -I S q I C> , P'"Cr- Building Owner Name: A(A'P) HS Phone: ,Z / (p q Fax: Address: o l Z f m P City. %2AXweU State: W Zip: Contractor Name: Phone: Fax: Address: City: State: Zip: License No: City Business Lic: Contact Name: Phone: AUTHORIZED SIGNATURE: = — / C/Effective October 28, 2007 PXommunity Developmenfforms\Building forms\Plumbing Permit Application.doc