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1988, 08-17 Permit: 88-INA259 ROW OFFICE OF SPOKANE COUNTY ENGINEER N. 811 JEFFERSON /SPOKANE, WASHINGTON 99260 (509) 456-3600 08/17/8EAPPLICATION TO PERFORM WORK ON COUNTY ROADAIAHt-pF81�/AY INA259 H&S CONSTRUCTION E 11817 VALLEYWAY SPOKANE WA 99206 (509) 926-8964 The applicant hereby applies for permission to CONSTRUCT THE SANITARY SIDE SEWER SERVICE TO THE SIDE SEWER STUB AT THE PROPERTY LINE FOR S 22 ADAMS; 14544-2032 Date work to start 08/18/88 The estimated time required for completion of the above work is 7 days which the petitioner agrees to prosecute with all diligence and speed with due regard for the rights, interests and conveniences of the public. Petitioner further agrees to perform the work in strict compliance with the provisions enumerated below and states that he has read and will adhere to the general provisions applicable to permits contained on the reverse side of this form. The undersigned guarantees that if the backfill, street surfacing or improvement fails within two years from the date of final inspection by Spokane County, he shall pay the cost of the County for making repairs or restoration of the roadway and improvements.In consideration of the granting of this permit it is agreed by the applicant that the County of Spokane and any officer or employee thereof shall be saved harmless by the applicant from any liability of responsibility for any accident,loss or damage to persons or property, happening or occurring as the proximate result of any of the work undertaken under the terms of this application and the permit or permits which may be granted in response thereto,and that all of said liabilities are hereby assumed by the applicant. It is further agreed that if any part of this installation interferes with the future use of the highway by the general public,it must be removed or relocated as designated by the engineer at the expense of the permittee or his successor in interest. SIGNED PERMIT Subject to all the terms, conditions, and provisions written or printed below or on any part of this form. PERMISSION IS HEREBY GRANTED the above applicant to: PERFORM WORK TO COUNTY STANDARDS. THE DESCRIPTION, MATERIALS, AND CONSTRUCTION DETAILS SHALL CONFORM TO THE 1976 STANDARD SPECIFICATIONS FOR MUNICIPAL PUBLIC WORKS-CONSTRUCTION, AS PREPARED BY THE A.P.W.A. , WHEN IN THE OPINION OF THE ENGINEER, SAID SPECIFICATIONS ARE APPLICABLE. AN EXCEPTION TO A.P.W.A SPECIFICATIONS IS THE CONTINUED ALLOWANCE OF 4 " SIDE SEWERS IN PUBLIC RIGHT OF WAY OR UTILITY EASEMENT FOR SINGLE HOUSES OR DUPLEXES. CALL FOR INSPECTION SHALL BE MADE AT LEAST ONE DAY IN ADVANCE OF INSPECTIONTIME DESIRED. INSPECTION IS REQUIRED AFTER LAYING OF PIPE SECTIONS, BUT PRIOR TO PIPE BACKFILLING, PIPE JOINTS MUST BE EXPOSED AT THE TIME OFTHE INSPECTION. .....---,0,-y--- -. ************ -*************************** $10. DUE *************************** ****** THIS WILL BE YOUR ONLY STATEMENT PLEASE MAIL YOUR CHECK PROMPTLY ****** *************************** THANKS *************************** ************ Permit fee $ 2 Inspection fee $ 8 Total $ 10 Paid by A bond in the amount of $ 2000 issued to H&S CONSTRUCTION is required to insure compliance with the above conditions, said bond to be kept in full force and effect for a period of 2 years following completion of work authorized by this permit. This permit shall be void unless the work herein contemplated shall have been completed before 08/26/88 INSPECTION REQUIRED — 24 HOUR NOTICE REQUIRED Call Pe ' Office 456-3600 0,:, 6-3604 to notify when work begins and schedule inspection.■COUN YEN IN ER :� _ � � ��_ ���_� i. / DATE ATE—!--/ —8Y'r.- It is the r- .. sibility of the a:. ic: t to notify all utilities and private property owners when such property is liable to injury or damage t /.ugh the performance of the above work and the applicant shall make all necessary arrangements relative to the protection of such property and/or utilities.Traffic control signing and barricades shall be furnished by Permittee in strict conformance with"Manual on Uniform Traffic Control Devices".This permit must be available on the work site and is valid r,nl..f,,, +he,rlatoe chnwn ahr is