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2011, 03-10 Permit: 11000743 SewerSPOKANE Cowry SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 219 N BLAKE RD Parcel Number: 45154.1503 Subdivision: CITY OF SPOKANE VALLEY Block: Lot: Zoning: UNK Unknown Owner: WALKER, JOHN R Address: 219 N BLAKE RD SPOKANE, \VA 99216-0817 Building Inspector: NONE Water Dist: Project Number: 11000743 Inv: 1 Issue Date: 3/10/2011 Permit Use: SEWER CONNECTION Applicant: WALKER, JOHN R 219 N BLAKE RD SPOKANE, \VA 99216-0817 Contact: WALKER, JOHN R 219 N BLAKE RD SPOKANE, WA 99216-0817 Phone: (509) 921-0611 Phone: (509) 921-0611 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: OWNER License it: OWNER SEWER CONNECTION 1 5125.00 PROCESSING FEE S25 00 Total Permit Fee: 5150,00 **FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8.30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL • INSPECTION FEES APPLY AFTER 30 MINUTES **INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION. **SEWER STUBS AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND:UNOBSTRUCTED SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE'LOWESTLEVEL OF TIIE STRUCTURE.: r— 5 **THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT -THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LA\V RCN 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES:— -�; -- i t.,� **CALL 1-800-424-5555 BEFORE YOU DIG,-ATLEAST2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. Payment Summary Total Fees AmountPaid AmountOwing $150.00 $150.00 50 00 Tran Date Receipt # Payment Amt 3/10/2011 Processed By: DOMPIER, DAWN Printed By: Force, Faith Page 1 of 1 728 $150.00 PERMIT