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2011, 07-18 Permit: 11003409 SewerSPOKANE COUNTY 'DEPARTMENT OF BUILDING & PLANNING u . ;1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 SPOKW COUNU Site Information Project Information Site Address: 3711 N CENTER RD Parcel Number: 45063.2403 Subdivision: ORCHARD AVE ADD TR 1-228 Block: Lot: Zoning: UR -3 Urban Residential 3.5 Owner: PEPLINSKI, MATTHEW L Address: 14508 E LONGFELLOW AVE SPOKANE, WA 99216 Building Inspector: JOHN LARSON Water Dist: Project Number: 11003409 Inv: I Issue Date: 7/18/2011 Permit Use: SEWER CONNECTION Applicant: PEPLINSKI EXCAVATION INC 8919 N ORMOND CT NEWMAN LAKE, WA 99025 Contact: PEPLINSKI EXCAVATION INC 8919 N. OR -MOND CT NEWMAN LAKE, WA 99025 Setbacks - Front: Left: Right Group Name: Project Name: Phone: (509) 226-5150 Phone: (509) 226-5150 Rear: I Permits I I Server Connection Permit Contractor: PEPLINSKI EXCAVATION INC License #: PEPL1E1939L9 SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25.00 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 FORA 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. "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. "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 LOWEST LEVEL OF THE STRUCTURE. "THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT T14E 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. Payme6t Summary Total Fees AmountPaid AmountOwing Tran Date Receipt # Payment Amt $150.00 $150.00 $0.00 7/18/2011 2968 $150.00 Processed By: DOMPIER, DAWN PERMIT Printed By: Lemley, Linda Page I of I