2005, 10-05 Permit: 05007564 Sewer11/1B/2005 .0:
Site Infl
777198
SPO CO BLDG AND PLNG
SI'OK NE COUNTY
DEPAR MMENT Or EuILDiN G & PLANNING
1026 WIST BROAJ)WAY AVENUE • SPOKANE, WA 99260-0050
PAGE 01/01
enation
Project Information
Site;1ddr'ss: 1 1 823 E 300NE AVE
Parcel.Nuninel: 45161.0 03
Subclicismn:
131 r ;:I; :
Zon I11': LDR
Lot:
1 )ss, Density Residential
Owr e : COOK, .RIAN A & GRACE. H
Addr>-s': PO BO) 69
GREEN .CRSS, WA 99016 -
Building lnsl.:+:etor: JOHTh LARSON
Water 1'dst:
J11AC'T:IVF2
Server Conne:rfnIZ Pernrt
FOR SE'.,'ER rNSPr(
Cal; fer i„sl:cction prix
Ccrtracb:: c r applican
Sewer....'!!, irC tC t5
saver. Sr ..vur lines she
This perrr,,t .rust be pr
CALL B.L.FORE YOU
STATE 1.,1\V RCW 1�
NOTIFIED), CALL E3E
Spokane :'c tnty Codc
including those related
Project Number: 05007564 Inv: i Issue Date: 10/5/2005
Permit Use: SEINER CONNECTION - 1-11LLVIEW/SP-1316-02
Applicam: 000K, BRIAN A & GRACE H
PC 130X 69
GREENACRES, WA 99010 -
Contact: COOK, BRIAN A & GRACE 1.1
PO 130X 69
GREENACRES, WA 99016 -
Phone: (509) 922-8788
Phone: (509) 922-8788
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Perrnits
Contractor: OWNER
I.Ircncc g: D\\1ER
S$.\VE.R CONNECTION
PROCESSING FEE.
Tntni Permit Fee:
MONS CALL (509) 477-3304 UTILITIES 8:30-5:00 P`•i \'ONDAY TT -IRU FRIDAY
S15.00
5 100, 00
• to cover. ONE WORKING DAY NOTICE REQUIRED.
is to field locate and confirm tltc elevation and postt•on of sc•.vcr stub prier to arty other excavation.
;caked prior re connection to ensure that they have acccplat,lc 2.r:,dc and arc clear and unobstructed to thc main
tld be constructed to allow for gravity flow from the lowest lapel of -the ,structure.
scntcd to thc job site inspector for verification, To local: buried cables, gas piping, water lines, etc.
)10, (509)456-8000,
122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL. BEFORE YOU 010" CENTER DE
'ORES YOU DIG AT LEAST 2 WORtCING DAYS IN ADVANCE, (509)4.6-5000.
cquires the installer comply with all requirements. of the Washington State Dept of Labor and Industries,
o trench safety.
Total
310(- 1)
Amou [Paid
S 00.00
Processed Hy: ti-ATTO..I ;1 -Ie
Printcc) IIv; Carver, Lau c
nil is 7 Gti till:71
Amonnt0winc
50,00
Payment Summary
Tran Date
iC/5/2005
Page 1 of I
Receipt # Payment Amt
6202 5100.00
COPY
5094?(71SE
PAGE.e1