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2011, 11-10 Permit: 11005892 SewerSpumeCowry SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 2525 N CENTER RD Parcel Number: 45072.1210 Subdivision: ELECTRIC RAILWAY SUBURBAN HO Block: Lot: Zoning: UR -3 Urban Residential 3.5 Owner: BROCKWAY, RYNE Address: 2525 N CENTER RD SPOKANE, WA 99212 Building Inspector: JOHN LARSON Water Dist: Project Number: 11005892 Inv: 1 Issue Date: 11/10/2011 Permit Use: SEWER CONNECTION Applicant: BROCKWAY, R.V. 2525 N CENTER RD. SPOKANE, WA 99212 Contact: BROCKWAY, R.V. 2525 N. CENTER RD. SPOKANE, WA 99212 Phone: (509) 844-7284 Phone: (509) 844-7284 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Server Connection Permit Contractor: OWNER License //: OWNER SEWER CONNECTION 1 $125,00 PROCESSING FEE $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 FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPEC'T'ION 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 LA13OR & 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 15 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 RECHECKED 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 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 Payment Summary Total Fees AmountPaid AmountOwing $150.00 $150.00 $0.00 Tran Date 11/10/2011 Processed By: SI-lATTO, JULIE Printed By: Force, Faith Page 1 of 1 Receipt N 5191 Payment Amt $150.00 PERMIT