1993, 10-05 Permit App: 93009308 Sewer'q3' g3og
X35 -gz3
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.
JOB ADDRESS: ,�`-�`�� IC �- /C _.
CITY: STATE:
Cy.a�l �'G '�
(IF KNOWN)
PARCEL NUMBER:
ZIP.COOE:
OWNER NAME: ADDRESS: /n e5�G "
CITY: STATE: ZU' PHONE:
PROPERTY OWNER PERFORMING SEWER CONNECTION INSTALLATION? YES O
(CIRCLE
*IF PROPERTY OWNER INSTALLING SEWER, THEY MUST FIRST CONTACT THE UTILITIES
DEPARTMENT FOR CONSTRUCTION REQUIREMENTS BEFORE PERMIT IS ISSUED.
CONTRACTOR: &UACHAINE EXCAVATION ADDRESS: 6 • lbgOa VALLEY WA`I Nq;-
ip
CITY: VE.QADNLE WN Si�iTE CR03-7 PHONE: I' R'4 -'V465
STATE CON TRACTiRS. LICEN--E XUMBER. CO(.(2CG"A.S1R-
UTILITIES INSTALLERS PERMIT NUMBER:
INTERIOR PLUMBING ALTERATIONS? YES NO
INTERIOR ALTERATION WORK BY..:
ADDRESS:
CITY: STATE:
(CIRCLE ONE)
PHONE:
r44:Z4lil9]mE
*ONE PERMIT REQUIRED FOR EACH SEPARATE BUILDING, SHOP GARAGE, ETC ^
THAT WILL BE CONNECTED TO THE SEWER.
SEWER CONNECTION... ....... —: # OF BUILDINGS X 50.00 = C
INTERIOR PLUMBING ALTERATIONS: # OF BUILDINGS X 35.00 =
TOTAL PERMIT FEE DUE S
APPLICANT
SIGNATURE
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
WEST 1026 BROADWAY AVENUE SPOKANE,WA 99260 (509)456-3675
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