2005, 02-01 Permit: 05000453 Sewerr, 1
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
SPOK,AI ICAUIy1Y 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 3103 N CENTER RD
Parcel Number: 45072.0404
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: HENDRICKSON, TROY D
Address: 3103 N CENTER RD
SPOKANE, WA 99212-2114
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 05000453 Inv: I Issue Date: 2/1/2005
Permit Use: SEWER CONNECTION - SIPPLE
Applicant: HENDRICKSON, TROY D
3103 N CENTER RD
SPOKANE, \VA 99212-2114
Contact: HENDRICKSON, TROY D
3103 N CENTER RD
SPOKANE, WA 99212-2114
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (509) 362-1718
Phone: (509) 362-1718
Rear:
1 Permits
1
Server Connection Permit
Contractor: OWNER
License #: OWNER
SEWER CONNECTION
1 $85.00 PROCESSING FEE
1 $15.00
Total Permit Fee: $100.00
t\
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU 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 arc to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from the 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. I r
=
STATE LAW RCW 19 122 REQUIRES TIIAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN 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 Amount Paid AmoantOwing
8100.00 8100.00
50.00
Tran Date
2/1/2005
Processed By: SHATIO, JULIE
Printed By: HINTZ, FAITH Page I of I
Receipt # Payment Amt
397 8100.00
PERMIT