1993, 10-26 Permit App: 93010319 Sewer 93- 10-S(1
(.7LD O -
SEWER CONNECTION PERMIT APPLICATION FORM
*THIS APPLICATION FORM MUST BE FILLED OUT ACCURATELY AND IN ITS ENTIRETY
AND SIGNED OR PERMIT WILL NOT BE ISSUED . eFp C)C_D cDeC}i 3 S
Cl/r1
/ +� ( IF KNOWN )
JOB ADDRESS: 3.
91c7
V r1 i' V-PP-c . f�, PARCEL NUMBER: 0(00°/
CITY: -5/0/10- STATE: WA-I-. ZIP CODE:
OWNER NAME: 5y ! L;c ADDRESS: - �
y
`
CITY: S 14, STATE: 14. PHONE: /04
PROPERTY OWNER PERFORMING SEWER CONNECTION INSTALLATION? YES NO
( YISCLE ONE)
*IF PROPERTY OWNER INSTALLING SEWER , THEY MUST FIRST CONTACT THE UTILITIES
DEPARTMENT FOR CONSTRUCTION REQUIREMENTS BEFORE PERMIT IS ISSUED .
CONTRACTOR: C 15 &d 5 - i ADDRESS: lE /6 YL3 Apai ./
CITY: 1,li, / I,r STATE: 124fSTATE: PHONE: /26�®17 3
STATE CONTRACTORS LICENSE NUMBER . . : 04(44543-n (Ii
UTILITIES INSTALLERS PERMIT NUMBER:
INTERIOR PLUMBING ALTERATIONS? YES NO ( CIRCLE ONE )
INTERIOR ALTERATION WORK BY . . :
ADDRESS: PHONE:
CITY: STATE: ZIP CODE:
*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 =
TOTAL PERMIT FEE DUE $
APPLICANT (3,445 ,,,„,e/(
SIGNATURE
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY AVENUE SPOKANE ,WA 99260 ( 509 )456-3675
CHUCKNA251JB CC G RUCK MILLER/ASSOC BLDR INC ROCKFORD 08/02/85 01 �• `
CHUCKMSO7Z15 CC A :HUSK AERIE TIG PART ANGELES- 04_/07/9.4 CH CHUCKM51329D
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CHUCKMS132Q0 CC E CHUCK MOATE SIDING SEQUIN 11/03/88 CH CHUCKM507219 4
CHUCKMC125KW CC E CHUCK MOORE CONSTRUCTION YAKIMA 05/04/89 01 MKDRICf134PE '
tHUCRAC1.28JJ CC E. C)IAEK..OLSAR-SANS_TRUC-IAM-.I.NS PARTIAMD Q1,13,119 91 g,
CHUCKOP26401 CC G CHUCK OSBORN PAINTING KITTITAS 01/11/80 CB CHARLOP26201 2°a II '
STARRRII25KN CHUCKPC114C4 CC A CHUCK PETERSON CONCRETE HOOD RIVER 02/14/94 BI BZ > I,
CHUCKR8337NG CC I CHUCK RF- - ' •• J0— -.r1i '~ "4
CHUCKRB124JN CC E CHUCK REASY BUILDER L ASSOC KENT 04/15/90 Ot CHUCKRB337NG '..k' _'. ;
NORTHBCIOOLL CHUCKRC213O5 CC G CHUCK REASY CONSTRUCTION SEATTLE 08/21/85 01 WESTVCDI6IQN
.CHUCXRR192ML CC A IOUCK.RINE9ARJ..6AILRER SEATTIE 07/14/94 91
CHUCKRC173CS CC A CHUCK ROBINSON CONCRETE FLASH SOUTH PRAIRIE 10/24/93 II BE ALLIEC*204PPT
CHUCKR5250JP CC G CHUCK ROHR/SONS COAST EATONVILLE 04/17/80 02 _S
CHUCKSC11702 CC R CHUCK 501.111 CONSTRUCTION IREfERTIU Q5/QT'TI Ti GREATAFISBMR -2' .4
CHUCKSC264M6 CC G CHUCK SMITH CONTRACTOR CLARKSTON 04/03/81 01 SMITHCH262N6 ,..1CCIHOEF204P7 CHUCKSCOSBQC CC A CHUCK STARR CONSTRUCTION BREMERiON 10/28/93 BE BI - .
CHUCR5C917A.1 CC A CHALK.SULL1_YAN._CAMSIAAGJJOA..CA TACAMA Q1/11/21 91 OARIII.119.19K4;.-
CHARLPF088DM CHUCKSB212BT CC E CHUCK'S BACKHOE SERVICE RAVENSDALE 01/30/87 BM
CAUCKESQ77PA CC-- R. ---CHUCK'S BACRunF SERVICE VERAIN'S 10/Q.LL91L. 01 N1
_ CHUCKCCI?1OR CC E 'MUCK'S CARPET CLEANING/DTF:NG ULYIIPIR 08/01/93 01 e9 _�
PRCONNH136MA CHUCKSC196DT CC 6 CHUCK'S CARPET INSTALLATION BOTHELL 02/26/82 CM a k.
' CHUCKC5243JE CC E CHUCK'S CARPET SERVICE COPALIS BEACH 04/01/88 01 4
CHUCXCR2691/11 CC A CNUCK:S._CIUIPEIlKEER18. CAMS ASGOb/.R'1 RM CII
CHUCKCi106M5 CC A CHUCK'S CARPETS PASCO 07/11/94 CM
CNUCKCB072K5 CC A CHUCK'S CAT L BACKHOE SERVICE YACOLT 04/08/94 01 CHUCKCS080JH -iM1,. ''.'.0
CHIICKCSOROJH CC I CHIICK'S CAT SERVICE YACAIT 04/08/44 OI CIIIICKC6071K5
CHUCKSC18OJE CC G CHUCK'S CHIMNEY CLEANING TACOMA 03/18/85 EX
CHUCKCS087K1 CC E CHUCK'S CONCRETE SERVICE OREGON CITY 05/20/93 BI
LOUCR15JS.5119 CC E CHUCK:S.-LAIICREIL.SERY.Lcf 4RE4A0..CITT QRLAILRR RA 11.1 I
F15 CONSTRUCTION CONTRACTORS F16 °' .
NEM LICENSE LICENSE 8 TYPE STATUS CONTRACTOR NAME CITY EDP DATE SPEC CODES OLD LICENSE NEW LICENSE I:1
CXUCKC5101KN CC A CHUCK'S CORING L SAWING INC SPOKANE 04/25/94 E%
CHUCKCB138P9 CC A CHUCK'S CUSTOM BUILDING ELNA 10/29/93 01 TUTTLCF265B0 `w C5 I
CHUCKCC?52JI CC G CHUCK'S CUSTOM CABINETS SHED TOM 01/?1/84 BD -4 1
CHUCKSC222KA CC E CHUCK'S CUSTOM CABINETS BELLINGHAM 05/01/91 01 -'4? 't'_7
CHARLSH169MT CHUCKSC200DP CC G CHUCK'S CUSTOM DRYWALL MARYSVILLE 03/17/81 BK K9 f
CAU K / 4 01 CHUCKDS131RS
4..DSI3IRS CC A CHUCK'S..DO-_IT.-ALL..SER.VICE BELLINGHAM II 10/9 _
CHARLM60880M CHUCKD5131R5 CC E CHUCK'S DO-IT-RLL SERVICE BELLINGHAM 11/78/89 01 CHUCKD1077LP ,� '--
CHUCKDSOBOMB CC E CHUCK'S DOZER SERVICE SEDRO WOOLLEY 07/23/93 BM •,i I.
CHUCKDTI6ONC CC G CHUCK'S DRYWALL&TAPING TUMMATER QS/Q2 85 BK CB - '
CXUCKSE224D7 CC G CHUCK'S EXCAVATING NEWMAN LAKE 03/27/80 BM BM BARNECF099DA ..V :
CHUCKFD164JK CC 0 CHUCK'S FENCES L DECKS KENT 06/02/88 01 .yI
CHO.CX5E2221L CC.....___..G CHACK:S..EJRISHIKG PARL.ANGEIES QSLI.3L1112 RD .4, ..- ,I
CHUCKFC10201 CC 0 CHUCK'S FLOOR COVERING PUYALLUP 09/14/92 CM BH
CHUCKFC176JF CC A CHUCK'S FLOOR COVERING YAKIMA 03/29/94 BX CM CHUCKFC24105 F V 0
CHAR 11,1..M CHUCKFS088CF CC E CHUCK'S FURNACE SERVICES EEO 42/05/9'1 EX 'X ':S
CHUCKHC098C1 CC E CHUCK'S HEATING L COOLING VANCOUVER 02/14/93 AA CG HURTBIH175KD e..
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CHUCKSI253KG CC A CHUCK'S INSTALLATION SERVICE SPOKANE 07/09/94 IF BH LAMPHCM258KG ^..O. R `s
CHACRIP.13911N CC A CHUCK:S..INSTALL8.T1QN5 RELLEXUE 960.1.71.94 CO. -9
CHUCKMSI6IMU CC G CHUCK'S MAINTENANCE SERVICE TACOMA 05/28/85 01 RRMASff169NT RRMASFf157A2 . i
1ESHUHIIOOLJ CHUCKM1128L9 CC E CHUCK'S MASONRY GOLD BAR 06/20/90 BE HZ = •
CHAR 1. 'H CHUCKMt134RT CC R CHUCK'S MASONRY SPOKANE 12/43/88 8I IZ RRMRS/#157M2 CHUCKMf112MF
CHUCKMf112MF CC A CHUCK'S MASONRY POST FALLS 07/06/94 BI BZ CHUCKMf134RT _ 1.
CHUCKMH146P0 CC E CHUCK'S MOBILE HOME SERVICE KELSO 09/30/89 01 LBMOBHI221MI -.
CNUCRMH14111F CC E. C11UCK:S..11U5ILE.IUJME_SERXLCE OLYMP.IR A3!.I.9l.RR RD CE
CHUCKMH/83M8 CC 6 CHUCK'S MOBILE HOME SERVICE PASCO 02/22/86 01 I'
CHUCKSP21400 CC 6 CHUCK'S PAINTING WOODLAND 03/19/81 CB iCHUCKPM178K2 CC G CHUCK'S PLUMBING MARSVIIIF 41/25/84 AD BE .• .
DREAMBM099PN CHUCKPHIYBPL CC E CHUCK'S PLUMBING L HEATING WILBUR 09/15/88 AD BE " $
CHUCKSP214O8 CC G CHUCK'S PORTABLE MELDING SRVC RENTON 08/31/82 CS -';
CHUCRP_112511R CC 1 C.UCK:S..P.RA.HARONRRE NNJ.TESRLMAN QLCI.QLSJ 91 CHUC.920J27NC 4119.E PXQ9.4CS... • .
CHUCKPM137NC CC I CHUCK'S PRO MART HOME CENTER WHITE SALMON 02/10/88 01 CHUCKPHI25DA ,i
CHUCKRt171LN CC I CHUCK'S REFRIGERATION CHEHALIS 04/15/87 AB AF ADYANES132J7S. I
.RAN . 7 . CHUCKR•?6300 CC R CHUCK'S REMODFI EDMONDS 04/25/88 91 CHUCKRt12116 '4
CHUCKSR212NT CC 6 CHUCK'S REMODELING SERVICE LYNNWOOD 08/30/80 BE _•"' ?fi
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CHUCKSW164DE CC A CHUCK'S MELDING BELLEVUE 03/05/94 CS EK
CHUCXLO!202RS CC G CHUCKRHAI..CAMSJRU(IJOM 1.Y.NDLN Q30.29LRJ R1 '.
CEEMTft101JZ CHUCKBT066L2 CC E CHUCKANUT BAY TRACTOR SERVICE BELLINGHAM 06/17/93 BM BM
CHUCKCf1210P CC E CHUCKANUT CONSTRUCTION BURLINGTON 07/30/93 01
CHUCKCA?300W CC G_ CHUCKANUT CONSTRUCTIAN LYNDEN 09/1.4/89 01 410
CHUCKCCI8TNJ CC A CHUCKANUT CONSTRUCTION COMPANY BELLINGHAM 06/04/94 01
CNUCKCf196LK CC G CHUCKANUT CONTRACTING BELLINGHAM 04/30/83 01 CHUCKLW238LZ t`
CHl1CRL10361Z CC 4 CHUCK9MAI. .AMR.AARKE PELIIMLHAO O6!.091.RI 8M CHACKI*Z36LZ x
CHUCKMC07708 CC A CHUCKANUT MOUNTAIN CONST BOW 08/30/94 BI BE .,.-.;
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CHUCKEL101L0 CC E CHUCKS EVERGRN LDSCPG/NSRY INC PORTLAND 05/29/92 BV BM44"
CNUCKLt101NM CC A CHUCKS IANDSCAPING PUYAI1UP 08/07/90 IM
CHUCKL5267KH CC 6 CHUCKS LINOLEUM SERVICE KELSO 09/02/81 BH BF
CHUCKRf121L6 CC A CHUCKS REMODEL EDMONDS 06/30/94 CH CV CHUCKRf263OW -
CHUCXSP.I.YILC CC E CAUCKE.SENER..A.2LAMLIJ4 StO.6AME QSCIiLRJ RD AU
CHUKACf116LB CC A CHUKAR CORPORATION. THE EDMONDS 05/05/94 01 CAREAIHIIODO —,ODO
CHUMBCt174LL CC G CHUMBLEY CONSTRUCTION CHEHALIS 06/08/86 01
_ CHUMSHN?060M CC G CHUIISLICK CO 4FATTIF 09/12/81 QI
CHUMSCJ123KN CC A CHUMSTONE CONSTRUCTION PESHASTIN 05/15/94 TI NEILWCf200L6
' CHUNCIH227JS CC A CHUN CONSTRUCTION INC MILTON 12/31/93 01
CHARADC488QA.. = CRAKELR499CM CC E. CHUNG:S..CQMSIRUCTIQN RELLEXUE. GT 2.Ql.9S 91
• CHURCCf181PG CC R CHURCH L COMPANY VANCOUVER 09/22/88 01 CHURCtf197QW CHURCC112001
u CHURCCI12001 CC A CHURCH L COMPANY INC BRUSH PRAIRIE 09/21/94 01 CHURCCf181PG
CHIIRCC4,200MB CC G CHURCH CONSTRUCT IOM SEAtTIE QI/02/81 HZ
CHURCCf201MA CC E CHURCH CONSTRUCTORS INC TACOMA 07/01/91 01 ALLWER5156KB
▪ CHURCLN2I4MW CC 0 CHURCH LAKE NRSRY/LNDSCPNG SVC SUMNER 07/16/86 BM
tHURCSl1.9.I9N CC 4 CMURCH-SALLI.YAM VAMC44VER QZLQ]LRJ 91 I.CSUP.B.l21.IAR CHURCCTIRI.F ...
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CONSTRE B TYPE STRTUS CONTRACTOR NAME CITY E%P DATE SPEC CODES OLD LICENSE NEM LICENSE 11 Ifr <:r
HASBCf128L8 CHURCAA258NA CC I CHURCH. ARTHUR A SEATTLE 08/01/88 01 ARTHUAG123M5
a%T AR111707 CHIIRrIfiAI.IP Cr C. CHARCH. IFM PAPTIAM AN .i R1 RC