2006, 05-17 Permit: 06003162 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
SPOKAty£awn( 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 1210 S DISHMAN RD
Parcel Number: 45203.0903
Subdivision: SIESTA MOBILE PARK ADD
Block: Lot:
Zoning: UR -3
Owner: MUSTARD, BARBARA
Address: 1210 S DISHMAN RD
SPOKANE, WA 99206
Building Inspector: NONE
Water Dist:
Project Number: 06003162 Inv: 1 Issue Date: 5/17/2006
Permit Use: SEWER CONNECTION - MICA PARK
Applicant: INLAND EXCAVATING & CONSTRUCTI
3417 W OLSON RD
DEER PARK, WA 99006
Phone: (509) 276-8500
Contact: INLAND EXCAVATING & CONSTRUCTI
3417 W OLSON RD
DEER PARK, WA 99006 Phone: (509) 276-8500
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: INLAND EXCAVATING & CONST INC License #: INLANEC995DN
SEWER CONNECTION 1 $85.00 PROCESSING FEE
1 $15.00
Total Permit Fee: $10000
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT -11 (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. `?t_
THE INSTALLER IS RESPONSIBLE TO INSURE ALL/WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND
MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIORTO'ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE.THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTEDJOITHEb1AiN=,SEWER'LINES:SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVE(TOR-THEASTRUCTURE7.7(
THE INSTALLER AND THIS PERMIT MUSTBE PRESENT'AT:THE JOB SITE"AT.THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COON Y CO DE'REQUIRES,THE.INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES' -'r' -',--.-s^+--- -
CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY;WITH.ALL,REQUIREMENTSOF THE WA,STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFET[k\ YI, }'l �• 4 �1 Q \I !I V
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 5100.00 50.00
Tran Date Receipt # Payment Amt
5/17/2006
Processed By: CUMMINGS, KATHY
Printed By: WENDEL, GLORIA Page 1 of 1
2522 $100.00
PERMIT