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2011, 05-05 Permit: 11001855 SewerSPOKANE COWIN SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 1208 S DISHMAN RD Parcel Number: 45203.0604 Subdivision: SIESTA MOBILE PARK OI ST ADD Block: Lot: Zoning: UR -7 Urban Residential -7 Owner: ROCKSTROM, WAYNE L Address: 1208 S DISHMAN RD SPOKANE, WA 99206-3114 Building Inspector: None Water Dist: Project Number: 11001855 Inv: 1 Issue Date: 5/5/2011 Permit Use: SEWER CONNECTION Applicant: WELLING GENERAL CONTRACTOR P.O. BOX 2317 POST FALLS, ID 83877 Phone: (208) 755-2175 Contact: WELLING GENERAL CONTRACTOR P.O. BOX 2317 POST FALLS, ID 83877 Phone: (208) 755-2175 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: WELLING GENERAL CONTRS LLC License 9: WELLIGC911 MG SEWER CONNECTION 1 5125 00 PROCESSING FEE S25 00 Total Permit Fee: 5150 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 INSPECTION FEES APPLY AFTER 30 MINUTES **CALL I-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 13E 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 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 THELOWEST LEVEL OF THE -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 INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES Payment Summary Total Fees AmountPaid AmountOwing $150.00 $150.00 S0.00 Tran Date Receipt k 5/5/2011 Processed By: SHATTO, JULIE Printed By: Force, Faith Page 1 of I 1631 Payment And $150 00 PERMIT