1993, 12-17 Permit App: 93012012 Sump PumpSEWER CONNECTION PERMIT APPLICATION FORM
*THIS APPLICATION FORM MUST BE FILLED OUT ACCURATELY AND IN ITS ENTIRETY
AND SIGNED OR PERMIT WILL NOT BE ISSUED.
(IF KNOWN)
JOB ADDRESS: e, sf oSz�/�z1 PARCEL NUMBER:
CITY: �5:.--/K2-/- STATE: /. )qr ZIP CODE: 3,-,
OWNER NAME: /ham /`t„frt_..,
ADDRESS:
PHONE: /2,-,2,2-/----72-67/
CITY: STATE:
PROPERTY OWNER PERFORMING SEWER CONNECTION INSTALLATION? YES
(CIRCLE 0 )
*IF PROPERTY OWNER INSTALLING SEWER, THEY MUST FIRST CONTACT THE .UTILITIES
DEPARTMENT FOR CONSTRUCTION REQUIREMENTS BEFORE PERMIT IS ISSUED.
CONTRACTOR: P 4 SCO (l.5-}'�u (h Dr1 ADDRESS: 118 11
CITY: .6�OLG01e. STATE: WA PHONE: 50q- crib. 5.516t4
61ci 20
STATE CONTRACTORS LICENSE NUMBER..: 14 S CO N 44 -)E 123 K_f
UTILITIES INSTALLERS PERMIT NUMBER:
INTERIOR PLUMBING ALTERATIONS?
INTERIOR ALTERATION WORK BY..: cif
ADDRESS:
CITY: STATE: ZIP CODE:
NO (CIRCLE ONE)
PHONE:
*ONE PERMIT REQUIRED FOR EACH SEPARATE BUILDING, SHOP, GARAGE, ETC
THAT WILL BE CONNECTED TO THE SEWER.
SEWER CONNECTION # OF BUILDINGS X 50.00 =
INTERIOR PLUMBING ALTERATIONS: # OF BUILDINGS / X 35.00 = WSJ
TOTAL PERMIT FEE DUE $ OS"
APPLICANT
SIGNATURE
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY AVENUE SPOKANE,WA 99260 (509)456-3675
a
From:
Spokane County Division of Buildings
1026 W. Broadway Ave.
Spokane, WA 99260
To:
H & S CONSTRUCTION
11817 E VALLEYWAY
SPOKANE, WA 99206
4,k pporfis
/:quW
Re:
Permit number 93-012012: SUMP PUMP
Our records show that the above permit, located at 3805 S SUNDOWN DR, SPOKANE WA
does not show an inspection or other activity in the last 150 days.
Permits expire by limitation if the work authorized is suspended or abandoned for a period of
180 days. If the work authorized has not been supended or abandoned, please telephone this
office at (509) 456-3675 before June 15, 1994 to schedule an inspection. Failure to do so may
result in payment of additional fees to reinstate the permit.
If the work authorized is completed, we do need to conduct a final inspection to close the
project.
We look forward to hearing from you soon.