2011, 04-12 Permit: 11001356 SewerSPOKAN COUNfY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 3419 N DICK RD
Parcel Number: 45063.3107
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: UNK
Owner: HUBERT, EDWARD W
Address: 3419 N DICK RD
SPOKANE, \VA 99212-1920
Building Inspector: JOHN LARSON
'Water Dist:
1'roject Number: 11001356 Inv: 1 Issue Date: 4/12/2011
Permit Use: SEWER CONNECTION
Applicant: HUBERT, EDWARD W
3419 N DICK RD
SPOKANE, WA 99212-1920
Contact: HUBERT, EDWARD W
3419 N DICK RD
SPOKANE, \VA 99212-1920
Setbacks - Front: Left: Right:
Group Name:
I'roject Name:
Phone: (509) 921-9367
Phone: (509) 921-9367
Rear:
Permits
Sewer Connection Perna!
Contractor: OWNER License #: OWNER
SEWER CONNECTION I $12500 PROCESSING FEE
Total Permit Fee:
**FOR SEINER 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.
**CALL 1-500-424-5555 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 SE\VER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER I5 TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB'PRIOR TO ANY OTHER EXCAVATION
**SEWER STUBS AND DRY SIDE SE\VERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE TI -IAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLO\V 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.
$25 00
5150.00
Payment Summary
Total Fees Amou ntPa id Anmu ntOwing
$150.00
$150.00 $0.00
Tran Date
4/12/2011
Receipt #
1210
Payment Amt
51511.00
Notes / Conditions of Approval
FELTS FIELD AIRPORT OVERLAY ZONE
FIRE DISTRICT #I - PLAN REVIEW FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY FD 111
Processed By: DOMPIER, DAWN
Printed By: Lemley, Linda
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PERMIT