2005, 11-28 Permit: 05009103 SewerSPOKARE COIJI'IY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 611,
307 S
Parcel Number: 35243.0982
Subdivision: RANGE
Block:
Zoning: LDR
AVE /
e�"i PID
Lot:
Low Density Residential
Owner: CUERNYY, GRIGORYY
Address: 4515 E ISTH AVE
SPOKANE, WA 99212
Building Inspector: F PALADICHUK
Water Dist:
Project Information
Project Number: 05009103 Inv: 1 Issue Date: 11/28/2005
Permit Use: SEWER CONNECT, BETTMAN'S ADDITION
/"/
Applicant: CUERNYY, GRIGORYY
4515 E 15TH AVE
SPOKANE , WA 99212 Phone: (509) 535-3004
Contact: CUERNYY, GRIGORYY
4515 E 15TH AVE
SPOKANE, WA 99212 Phone: (509) 535-3004
Setbacks - Front:
Group Name:
Project Name:
Left: Right: Rear:
IPermits1
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION 1 585.00 PROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
1 $15.00
$100 00
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure.
This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000. ,
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
1
Payment Summary
1
Total Fees AmountPaid AmountOwing
$0.00
$100.00 $100.00
Tran Date
11/28/2005
Processed By: Hansen, Tom
Printed By: HINTZ, FAITH Page 1 of 1
Receipt # Payment Amt
7391 $100.00
PERMIT