2011, 02-14 Permit: 11000441 SewerSPOKANE COUNIX
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 1106 N BLAKE RD
Parcel Number: 45151 1 108
Subdivision: SP -I057-96
Block: Lot:
Zoning: UNK Unknown
Owner: HARTZ, EARL
Address: 1106 N BLAKE RD
SPOKANE, WA 99216
Building Inspector: None
Water Dist:
Project Number: 11000441 Inv: I Issue Date: 2/14/2011
Permit Use: SEWER CONNECTION
Applicant: HARTZ, EARL
1106 N BLAKE RD
SPOKANE, WA 99216
Contact: HARTZ, EARL
1106 N BLAKE RD
SPOKANE, \VA 99216
Phone: (509) 928-9512
Phone: (509) 928-9512
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Server Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION 1 5125 00 PROCESSING FEE 1 S25 00
Total Permit Fee: $150.00
**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 1S RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
13E REQUIRED TO PERFORM TESTS FOR VERIFICATION INSTALLER IS TO FIELD LOCATE AND CONFIRM TIIE
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 TIIAT THEY
IIAVE ACCEPTABLE CRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLO\V FROM THE LOWEST LEVEL OF THE STRUCTURE: —
**Tl IE INSTALLER AND THIS PERMIT MUSS' BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 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 AniountOwimw
$150.00 $150 00
$0.00
Tran Date Receipt # Payment Amt
2/14/201 I
Processed By: CUMMINGS, KATHY
Printed By: Force, Faith Page 1 of 1
434 $150.00
PERMIT