2011, 05-18 Permit: 11002144 SewerSPUME Cou{rY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 3424 N DICK RD
Parcel Number: 45063 3076
Subdivision: CONVERTED CNTY DATA
Block: Lot:
Zoning: AGS
Owner: CHILD, JERRY
Address: 3426 N. DICK RD.
SPOKANE, WA 99212
Building Inspector: NONE
Water Dist:
Project Number: 11002144 Inv: I Issue Date: 5/18/2011
Permit Use: SEWER CONNECTION
Applicant: CHILD, JERRY
3426 N. DICK RD.
SPOKANE VALLEY, WA 99212 Phone: (509) 926-7979
Contact: CHILD, JERRY
3426 N. DICK RD.
SPOKANE VALLEY, WA 99212 Phone: (509) 926-7979
Setbacks - Front: Left: Right: Rear:
Croup Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION I 812500 PROCESSING FEE 1 825.00
Total Permit Fee: 5150.00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 3:30-5:00 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 -S00-424-5555 BEFORE YOU DIG --AT LEAST 2 \VORKING.DAYS. IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF TFIE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY. ;: ' ,`i
**INSTALLER IS RESPONSIBLE TO INSURE ALL \VASTEWATER DRAINS ARE:CONNECTED TO THE SE\VER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION INSTALLER IS TO FIELD LOCATE AND CONFIRM TI IE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY -OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE TO-BECHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEINER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THELOWEST-LEVEL OFTHE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LA\V RCW 19.122 AND COUNTY CODE REQUIRES THE -INS -FALLER -TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing
$150.00 $150.00
$0.00
Tran Date Receipt ti Payment Amt
5/18/2011
Processed By: SIIATIO, JULIE
Printed By: Force, Faith Page 1 of 1
1880 $150.00
PERMIT