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