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2004, 02-13 Permit: 04000616 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 9806 E BROADWAY AVE SPOKANE, WA 00000 Parcel Number: 45173.0107 Subdivision: Block: Lot: Zoning: UNK Unknown Owner: THOMAS, JEFFREY S Address: 9806 E BROADWAY AVE SPOKANE, WA 99206-3816 Building Inspector: BOBBY STONE Water Dist: Project Number: 04000616 Inv: Permit Use: SEWER CONNECTION Applicant: 1 Issue Date: 2/13/2004 LARRY BROWN EXCAVATION BOX 461 CHATTAROY, WA 99003 Contact: LARRY BROWN EXCAVATION BOX 461 CHATTAROY, WA 99003 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 468-8024 Phone: (509)468-8024 Rear: Permits Sewer Connection Permit Contractor: LARRY BROWN EXCAVATING License #: LARRYBE044DF SEWER CONNECTION 1 $85.00 PROCESSING FEE Total Permit Fee: $15.00 $100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY TART] FRIDAY 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 aeecptable grade and are clear and unobstructed to the [Hain sewer. Sewer lines should be constructed to allow for gravity flow fro6the 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 IIQ 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. • 'Payment Summary Total Fees AmountPaid AmountOwing 5100.00 $100.00 50.00 Tran Date Receipt #- Payment Amt 2/13/2004 516 5100.00 Processed By: FORRY, JEFF Printed By: HINTZ, FAITH Page 1 of I PERMIT FILE