1993, 11-08 Permit App: 93010808 Sewer � �
( 3- 1
•
LO
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 .
-C ( IF KNOWN )
JOB ADDRESS: I (a 1 1 I t ( PARCEL NUMBER:
CITY: �Pv kG`'- STATE: v"G ZIP CODE:
OWNER NAME: �flL+\ U i •C 0 0 e-+n; C IC ADDRESS:
CITY: ()vCC*.rc STATE: (/Ja, PHONE: - 6 - 6/46 ' 3.?6
PROPERTY OWNER PERFORMING SEWER CONNECTION INSTALLATION? YES NO
( CIRCLE O` )
*IF PROPERTY OWNER INSTALLING SEWER, THEY MUST FIRST CONTACT THE UTILITIES
DEPARTMENT FOR CONSTRUCTION REQUIREMENTS BEFORE PERMIT IS ISSUED.
CONTRACTOR �� a.0 6 ,�') G4i t kS ADDRESS: 41 IRi- �/e-&e
�. � // //
CITY: 7�� STATE:U}// PHONE: �C(9.6T 4�S`
STATE CONTRACTORS LICENSE NUMBER . . : !J oel- H E 0 -12; 1) (1
UTILITIES INSTALLERS PERMIT NUMBER:
INTERIOR PLUMBING ALTERATIONS? YES 6-(;3 (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 �__ $ ` 7
SIGNATURE �� , •
lq
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY AVENUE SPOKANE ,WA 99260 ( 509 )456-3675
a .
CONSTRUCTION CONTRACTORS101 CONSTRUCTION CONTRACTORS
LICENSE N TYPE STATUS CONTRACTOR NAME CITY EXP DATE SPEC CODES OLD LICENSE NEW LICENSE LICENSE II TYPE STATUS CWEVACTOR MANE CITY
NORTHD*182J3 CC G NORTHWEST DRYWALL VANCOUVER 03/08/83 Of PYRANDPI21NB NORTHVP082D6 CC A ImpiON.N.EST VINYL PRODUCTS MONROE
NORTHDC15002 CC G NORTHWEST DRYWALL & CONSTR SEATTLE 02/20/86 01 NORTHOC154C8 NORTHw021206 CC 8 NWEST W.O.W. AUBURN
NORTHDP13711W CC a NORTHWEST DRYWALL 1 DITIALUEG WiffronVER 01/06/88 01 NORIHNCIMTIVI CC R yTliblEST WALL CITYRRING ELLTILLUIP
NORTHDP199RU CC G NORTHWEST DRYWALL & PAINTING PORT ANGELES 12/30/83 BK CI NORTHwF071J6 CC A mWEST WALL FASHIONS BELLOW(
NORTIOP222L2 CC G NORTHWEST DRYWALL & PAINTING SEQUIN 05,12,82 BR CB NORTHw4.16010 CC G TROWNAIEST WALLBOARD LYNDEN
NORTHOD074C) CC ft PPRIANC9i DR/A91.1.—MAGA sA1ftc 9z/17/04 BE NORTH14•169m4 CC__ G___TRIMMOLSI-MAELDOARI) EWEN
NORTHOGI76D8 CC G NORTHWEST DRYWALL INCN CONIRS EVERETT 08,08/85 01 MORTHDE229MJ NORTHMC1130A CC 0 apvHaEST WALLCOVERING CONTRS REDMOND
NORTHD10118NH CC E NORTHWEST DRYWALL INEVERETT 08,08,93 01 NORTHDE1541.7 NORTHWL161K1 CC A 110VHINEST WAREHOUSE LEASING CO YAKINA
NORTNI.083LP CC A NORTHWEST DRYWALL/CONTRACTING WHITE SALMON 06/16/94 01 JGDRYK*105m4 NORTHwL2351.7 CC G UMMESJ WAREHOUSE LLA5D.Ns CO YAKINA
NORTHDP258PF CC G NORTHWEST DRYWALL/PING INC KIRKLAND 02/25/[15 OK C8 NORTHwS09405 CC S NINFHMEST WATER & SOIL CO POULSIO
NORTHDE154PI CC I NORTHWEST DRYWL OF EVERETT INC EVERETT 08,08,92 01 NORTHDE154PT NORTHDI088NH NORTHWB184JR CC G .00HaLST MATER BLSTNG/STM CCM BOTHELL
NORTHIPCU9J1 Eg R HURDIMM_RUM_SAKTRAL ftAxIILK.LAKE. 94,gp,g4 ql EX NORTHDC125KE NORTHmNgS6.96 CC— 4.___MRAM.5.1..MIER..MEASER CO 51A1111
NORTHDC125KE CC A NORTHWEST DUST CONTROL HAYDEN LAKE 03,30,94 1111 EX NORIHDC139J1 MORIHWH168C1 CC R adaNWEST WATER HEATER INC SEATTLE
NORTHEI134111 CC A NORTHWEST EARTHMOVERS INC TUALATIN 03,29/94 01 NORTHWH137KJ CC I mmAmEGE WATER HEATER INC SEATTLE
NOWTHE$0731:04 CC A NORTHWEST EARTHWORKS SPOKANE 03/2.4/94 01 NORTHWIIII 100 2 CC A MOIZIOTESI MIER ALAIIAS VANCOUVER
NORTHEE337PB CC A NORTHWEST ELECTRIC CO WOODINVILLE 01/01/94 01 NORTHWI170J5 CC G wavaHlw.EST WATER TREATMT CO INC VANCOUVER
NORTHES141RH CC E NORTHWEST ELECTRONIC SECURITY OLYMPIA 11,20,88 BO EX CHETSSL177CD NORTH1.202110 CC G imairHaRST WATER WELLS, INC HAYDEN LAKE
,ASIRINE.V.32MI CC C MR.TARES.L.ELLCIRLIKILS_LAS SPOKANE 97,93.,81 OZ APRIMMA271,7 CC-- E—MCME.5.1..MISR..ROARS TACOMA
NORTHECIO1K2 CC A NORTHWEST ELEVATOR CO AURORA 05/00/94 BE NORTHWC166JE CC A MIXOTIMEST WATERPROOFING CO INC SEATTLE
NORTHE,1162D1 CC I NORTHWEST ENCLOSURES REDMOND 02,23,87 01 STUDERRIZ3LO NORTHWS228CS CC A 7WEST WEATHER STRIPPING LYNNWOOD
NORTME.11208 CC R NORTHWEST ENERGY SEATTLE 09,25,92 AC Al NORT1 1165D? IC r TROOCHWEST MENITEERIZATION INC GORSE
NORTHEC161P2 CC E NORTHWEST ENERGY CONTRACTORS TACOMA 10/22/88 VI NORTH14$218PN CC G UPW7IMRST WELDING BREMERTON
NORTHEC145L6 CC E NORTHWEST ENERGY CONTROL CORP BELLEVUE 06,09/87 01 NORTINIF090119 CC A INO&vvwEST WELDING L FAS INC TACOMA
MRIRES927.11I CE ft MRIMMEal_ENERSX_LAS £00000.5 12.!211,93 01 _ADRIM9.199.RE CC_ E____MlatHES.I..RELE DRILLING. SALER
NORTHE11203CE CC G NORTHWEST ENERGY MIXERS MOUNT VERNON 02,06/83 01 NORTHWDO9UME CC A ImMeHMEST WINDOW & DOOR CO INC SEATTLE
NORTHEMIITOKL CC G NORTHWEST ENERGY MIXERS MOUNT VERNON 04,01,83 01 NORTHEM203CF NORTHWC176R2 CC 0 WORVIMEST WINDOW COVERING CO YAKINA
NORTHEM19180 CC G NORTHWEST ENERGY NNGNNT INC SEATUE 06/30/84 01 NORTNWC184B9 CC C UMEZWIESJ WINDOM CORERING UNC REDMOND
MORTHEP1480E CC A NORTHWEST ENERGY PRODUCTS SPOKANE 12,30/93 BG WE NORTHWP293K4 CC G WPWINAKEST WINDOW PRODUCTS WENATCHEE
NORTHES203JW CC G NORTHWEST ENERGY SAVERS BELLING
04,16,81 01 NORTHWP177111 CC E HOR44M&ST WINDOW PRODUCTS SEATTLE
_MRIRES.1151.5 SS 4 MARIAMES.L.EMERSX_5RISISS5_KEI BELLEtVE 9/,91,96 91 MORTMACIIIPP ,ARRIM1199/2CE CS— AMIL.NIKOGN REfLACEAEMI YAITCTWVER
NORTHES185CJ CC G NORTHWEST ENERGY SYSTEMS PORTLAND 01/26,84 EU EX MORTHIK21201 CC A moRallaEST WINDOW WORKS, INC LYNNWOOD
AA!' NORTHES152N2 CC E NORTHWEST ENERGY SYSTEMS INC LYNNWOOD 08/07,88 01 PUGETSC1211111 NORT1040073K4 CC A mielVENLEST WINDOWS SEATTLE
NORTHET16100 CC G NORTHWEST ENGRAVING BREMERTON 09/01/85 C1 EX ,NORTHWC081M0 CC E AMST AIMS camaiRms.Ttati TACOMA
_
NORTHEC213D7 CC G NORTHWEST ENGRNG/CONSTRuCTION RICHLAND 03/27/80 01 NORTHI4F150JK CC E mairaMmEST WLDNG & FABRIcA11CM TACOMA
NORTHE.1226PJ CC G NORTHWEST ENTERPRISES PORT ORCHARD 10,11/80 01 NORTHWC093RJ CC A WWWVIMEST WOMEN IN CORSI TERING
MRIKE,g9R7 CS R APRIAMM_INIERETUES 9lTME19 19,1h,96 91 ARRIACRUZR7 MILIHEt1.5111... ..MORXAM9.UM5 CS_ L __MCA/NM MAP_ARLISARY ROMMI_YERMA
NORTHEYZ22JA CC E NORTHWEST ENTERPRISES STANWOOD 04/01/92 01 NORIHNCISOLJ CC G mailtql.MEST WOOD CONCEPTS NEWMAN LAKE
NORTHE0151P1 CC E NORTHWEST ENTERPRISES OLYMPIA 10,16/86 01 NORTHEV220R7 NORTHWC151D1 CC G ImaNTIM.EST WOOD CRAFTERS SEATTLE
NORTHE*147RU CC E NORTHWEST ENTERPRISES EMI ANGELES 12,20,87 01 NORTHEHI7OIN NORINWC7IIKM CC G INOICIII6ESE MOOD EERNDALE
; 4 NORTHEY170LN CC G NORTHWEST ENTERPRISES PORT ANGELES 06,011/84 BE III MORTHE0147RU NoRTHwC173n2 CC G mamV14WIEST WOOD CRAFTERS SEATTLE
MORTHE007702 CC A NORTHWEST ENTERPRISES SEATTLE 09,09,94 01 NORTHWH162P2 CC E MOVVIMEST WOOD HEAT REDMOND
NORTHC*101,4 CC 1 MAJRNM_CMLERERLGS5 REDPION9 94/0p94 91 1144KACIA257 MORTHWH20,CC fC 9—11112111HIES.1 NOMMEN I
:00Vg!ILLE
NORTHEK077DS CC A NORTHWEST ENTERPRIZES TACOMA 03/10,94 AD DAVIDES169m0 NORTHWR099M11 CC E INMWVINIEST WOOD RECYCLERS INC
NORTHES088115 CC 0 NORTHWEST ENVIORFIELD SRVC INC SEATTLE 01,01/93 BM CR MORTHEI1360P NORINW49,74M2 CC A noir-was/ WOODCRAFT COUPEVILLE
NORTHEI099NR CC E NORTHWEST ENVIRQCON 111C VANCOUVER 07,29,92 01 NORTH1422.5KW CC G MME-51 WOODCRAFT DESIGN MARYSVILLE
NORTHEKIIIMIP CC R NORTHWEST ENVIRONMENTAL BUCKLEY 11,08,91 EX NORTHPL073CH NORTHWIT16J6 CC A TodeVNAEST WOODWORKING INC TACOMA
NORTNI$227DC CC G NORTHWEST ENVIRONMENTS, INC BELLEVUE 03,03,80 01 GLNORIV1126UC NORTHWEIOIKP CC A IMMWV1WIEST WOODWORKS CUSTER
NCIRTHC11360P CC A MEMIIE5.1..ENY.I.M5ER.YACE...IIIC SEATTLE 07/4 /94 91 MAIMIURAMit KE5SEE19.72C9.. MRAHRCIAMI......CC 4 pornmEIT NAMMGRKS A CUMST
ET
MORTHE1099LJ CC A NORTHWEST ENVIROTECN INC TUALATIN 04/01/94 CM in NoRTHw1110011 CC A ---INEWMaLST WOODWORKS INC RHOND
MORTHER123KK CC E NORTHWEST EQUIP REFINISHERS RENT 05,10/93 Cl MORTHWRI37LT CC E ImMWVSMEST WRIGHT ROOFING INC KENT
NORTHEI15980 CC G NORTHMEST_ERECTION INC REDMOND 01,t0,86 CJ EX MR1115E141E8 MORTHwH1002 CC A IMIleNHE51 HU HER InC,Dav Is NH SEATTLE
NORTHES088LS CC A NORTHWEST ERECTION SPEC INC PHILONATH 10/16/94 CJ CH w NORTHITP21605 CC G vorvIMEST-BUDGET PAINTING CO SEATTLE
NORTHES200P9 CC G NORTHWEST ERECTION SRVICES INC DES MOINES 10,27,81 CJ NORTHTS172K4 CC G adVamtST. THOMAS SEATTLE
,... .NORTHCK228K0 CC 4 MR11114.5.1_LRCCIRR5 SEATTLE 0?/22/84 CA RUSHAE./.1210/1.. KORTHP4470I0‘1 CC— A---TRITCHWEITLS.ITEMIER CONTRS INC IITIT5I,%.
NORTHE$211RR CC G NORTHWEST ERECTORS KENT 12/19,84 01 NORTHEV250RU INDUS14150JJ L NORTHBV152D5 CC E TAMT5mALESTERN BUILDERS
. NORTHEI167RR CC A NORTHWEST ERECTORS INC KENT 12,19,93 01 MORTHE4.211RR INDUSIII0IPB ' NORTHII0227NG CC E wolVVINWSTERN BUILDERS MARYSVILLE
NORTNEE095LD CC E NORTHWEST ESTATE FENCING ISSAQUAH 06,04,93 BR FX MORIMBEIOIRK CC A 111/18-1a1.5111311 BUILDERS UNALASKA
NORTHE49,72DA CC A NORTHWEST EXCAVATING SEQuIM 02/02/94 01 NoRTHISIO2mQ CC E mmylmwESTERN BuRBUR SPECIALIST PORI ANGELES
NORTHEU138n2 CC A NORTHWEST EXCAVATING S. UTILS BRUS1 PRAIRIE 08/24/94 01 DONNEEK242K0 - NORTHC$280C3 CC 0 NWMWESTERN CONST CO SEATTLE
A0
STIA91191-A CS
A APRLANLO...EXCA.Y9T19A SPANAWAY 06,11/94 01
.N9RTHOW5NO 9C A —...v0ft51*L5Lmm C9D5T WH INC SPOKANE
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6 N
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CONSTRUCTION CONTRACTORS .101 CONSTRUCTION CONTRACTORS
S OLD LICENSE NEW LICENSE
LICENSE 0 TYPE STATUS CONTRACTOR NAME CITY CUP DATE SPEC CODELICENSE II TYPE STATUS COINTRACTOR NAME CITY
NORTHEC13505 CC 0 NORTHWEST EXCAVATION 8 CONS! CHATTAROy 07/00/88 BR NORTHC$224J1 CC R WBOVVIM.ESTERN CONSTRUCTION CO FEDERAL WAY
MORTHECI6ONL CC E NORTHWEST EXCVING,IRKNG CO INC BOTHELL 06,15/91 01 NORTHET171NR MCKAYE1161RJ NORTHCC183CW CC G maevaimESTERN CONSTRUCTION CO TONASKET
NORTHE.1171mit CC G NORTHWEST EXCYINGLIRXNG CO INC EDMONDS 08,17,84 Off EX EIRCON*1182J11 MORIHFC160NL NORIHCIEAP A rr r mo.... .1.E-511-Rl4 CEINSIRLICIIIIII INC. EllaciLira
NORTHECIO6n5 CC E NORTHWEST EXOTIC CEMENTS GREENBANK 07/20/01 81 CK NORInCe194Q0 CC E warrThmWSTERN CRANE INC MILTON
MORTHEP075C2 CC A NORTHWEST EXTERIOR S. PRESTAIN DEWING
02/18/94 BE CH NoRTH14225PD CC 4 meaVaMESTERN CRANE, INC SEATTLE
NORTHECOBA CC G ApATAMES.L.EnCRAM CORER 5GAIL1E Eq,13,Ao 01 NORINDKOOND CC G__ wORIHMESTERN PRTwAlk ARLINGAPN
NORTHEP182KK CC G NORTHWEST EXTERIOR PROD INC FEDERAL WAY 04,2,84 01 NORTHD1077LG CC A —010179mE5TERN DRYWALL INC BELLINGHAM
NORTHEE178LC CC G NORTHWEST EXTERIORS CASTLE ROCK 04,01,85 BR DV NORTHE•088LA CC A NoRa*WESTERN ENTERPRISES PORT LUDLOW
NORTHEVIIOJE CC E NORTHWEST EXTERIORS TIGARD 04/04/01 VT NORTHEWIN6 CC A MILTEMMIRE111-0-0K1M LIG FOLK
NORTHE$110JP CC R NORTHWEST EXTERIORS KIRKLAND 04,I3/90 01 NORTHE1,10,40 NORTH11123901 CC A NosaamESTERN HONES WALLA WALLA
NORTHEETIONQ CC E NORTHWEST EXTERIORS LYNNWOOD 04/13,91 01 NORTHEV110JP NORTHIL25OPP CC G NORV4wESTERN WAST LAMP CO INC SALEM
NORTHEVI9ATII EC C MURIMM_EXLERIP.R5 SPORrtttE 05.1v04 BE CH NOR1HfCgimpn CC G 1091/IMEMERM..1//95.J.91...CF.9./..15/1911 BURL1.9.4.19tt
NORTHEI159nJ CC E NORTHWEST EXTERIORS INC TACOMA 07/01/87 BD BE NORTH1o228KB CC E WairaamESTERN INDSIRL MAINZ INC PORTLAND
NORTHEC16OPJ CC A NORTHWEST EXTRUDED CURBS PORTLAND 10,10/94 BI EX NORTH14,237K0 CC E NORTHWESTERN INTERIORS INC EVERETT
NORTNFE218DE CC G NORTHWEST FABRICATING SEATTLE 01/26/82 UI K NOILINMESIERN 1-1111175C-Hr-E-COITrATIY INC010
NORTHECT , 2 CC
NORTHFS077KC CC A NORTHWEST FACILITY SERVICES BOTHELL 04,30,94 BE BD NORTH14207CM CC G NORVamESTERN METAL BLDG CO, IN BAINBRIDGE ISLA
NORTHEB167CF CC E NORTHWEST FARM BUILDING SEDRO WOOLLEY 01/01/87 01 HLC0101.225RG NORTHMH0990J CC E N0419amE5TERN MEG HMS NORTH INC EVERETT
APRIK.CAfiCe93 CC C MRTMEM_EED.ERAL_CMSLMS110/1 E.YERE1.1 93,15,8, 91 ..9.9111119119291.11 CC 1 1501E1AMILERN AEG MOMS..IAS E./ERE 1.1
NORTHECIOIBS CC R NORTHWEST FEDERAL CONTRACTORS CAMARO ISLAND 01,09/91 01 NORTHEC09911M NORIHMH205011 CC G NORVaMESTERN MOTTILE HOME SERV. BURLINGTON
NORTHEC099BM CC A NORTHWEST FEDERAL CORERS INC CAMARO ISLAND 01,09,94 01 NORTHFC101115 NORTHPC18ORC CC G NOCYaKESTERN PAINTING CO SUMNER
NORTHEE??IRR CC G Ana/mars/ LENGE SEATTLE 02/02/81 ON MORINECUORR NORTHP111701E CC G ITTILINItA1LE11-11-Wg1111-G FERNMAI E.
NORTHFC103L2 CC E NORTHWEST FENCE I. CONCRETE PASCO 06/13,92 ON III NORTHP.11851.1 CC G NocVaMESTERN PLUMBING BELLINGNAM
NORTHFC22ORR CC E NORTHWEST FENCE CO SEATTLE 02,03/88 IN NORTHFE221RR NORTHPC199D6 CC G TwORVOKESTERN PLUMBING 1 CONS( FERNDALE
.110R.Iftf.C.IZZO CC A MURTMES.L.F.ERCE_Ell 5.EMIR 11,12,93 01 GABLAC/RACZ _ADRIfte1129.91 CC C AMMAIMERA.fRORLAII.PEY Ca 5LAILLL
MORTHEC126DG CC R NORTHWEST FENCE CO INC A WA CR SPOKANE 03,07,89 ON NOR1HEC187N5 NORTHPIT14705 CC E INOKY.wESIERN PROPERTY MAIN, CO EVERETT
NORTHFCTIOCZ CC A NORTHWEST FENCE CO INC A WA CR SPOKANE 03,07,94 01 MORTHFC126DG NORTHR.210D7 CC G 140eV10mESTERN REFRIGERATION SNOHOMISH
NORTHEC187115 CC 1 NORTHWEST FENCE CO,SPOKANE INC SPOKANE 03/03/88 BEI NORTHEC126DG MORTHR,764D6 CC G _11101.111NB-51LEILanaln1G INC SEAT II E
NORTHIC184DA CC G NORTHWEST FENCE COMPANY INC COEUR D'ALENE 02,05/83 ON NORTHECT3HIG NORTHSNO75JA CC A NORVamESTERN SHEET METAL LIBERTY LAKE
NORTHFC137NG CC A NORTHWEST FENCE COMPANY INC COEUR D'ALENE 06/07/94 ON MORTHFC184DA NORTHS.2111.0 CC G WeramESIERN SHELTER OLYMPIA
MRXRCE12fiLl CS G MR1BAULLE1MCE_CRESIRRS YAMCCIVALR 96,11,91 91 MRD15.C./2a1A. CC A.._....MFAMEal.ERft.5.1LEL..C9IMI_CA PORILOPP
NORTHF1080LA CC A NORTHWEST FENCE INC BELLINGHAM 06/01/9m BR JOHNNEvIOOLK NORTHSE099OR CC A NO,V,KESTERN STEEL FAB INC wOODINvILLE
aa.. " a ynoTuuCCT VICW1,11... L ftrrVIMC vamcnmyRA ros,c1A,A4 AN of NORTHI1150P9 CC E NORYmwESTERN TILE INTERIORS SEATTLE