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2011, 06-03 Permit: 11002499 SewerSrock E COUMY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 7219 E CARLISLE AVE Parcel Number: 35121.6210 Subdivision: EDGERTON, 01ST ADD Block: 6 Lot: Zoning: UNK Unknown Owner: COSSELL, ELVIRA H & KEN L Address: 7219 E CARLISLE AVE SPOKANE, WA 99212-1467 Building Inspector: JOHN LARSON Water Dist: L Project Number: 11002499 Inv: 1 Issue Date: 6/3/2011 Permit Use: SEWER CONNECTION Applicant: COSSELL, ELVIRA H & KEN L 7219 E CARLISLE AVE SPOKANE, WA 99212-1467 Phone: (509) 000-0000 Contact: COSSELL, ELVIRA H & KEN L 7219 E CARLISLE AVE SPOKANE, WA 99212-1467 Phone: (509) 000-0000 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION 1 S125.00 PROCESSING FEE 1 S25.00 Total Permit Fee: $150.00 .t **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. A.' **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. Ir- _ **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`P_RIOR TO ANY.OTI IER EXCAVATION. **SEWER STUBS AND DRY SIDE SEWERS ARE TO'BE-CIIECKED 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 LOWEST/LEVEL OF THE. STRUCTURE. **THE INSTALLER AND THIS PERMIT MUST•BE PRESENT AT THE 1_013 SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LAW RCN 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. Payment Summary Total Fees AmountPaid AmountOwing 5150.00 $150.00 $0.00 Tran Date 6/3/2011 Processed By: DOMPIER, DAWN Printed By: Force, Faith Page 1 of I Receipt 4 Payment Amt 2166 $150.00 PERMIT