2010, 08-16 Permit: 10004256 SewerSPOKARE Cann(
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 1219 S DISHMAN RD
Parcel Number: 45203.0802
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: UR -7 Urban Residential -7
Owner: RYCHALSKI, GAIL D
Address: 1219 S DISHMAN RD
SPOKANE, WA 99206
Building Inspector: NONE
Water Dist:
Project Number: 10004256 Inv: 1 Issue Date: 8/16/2010
Permit Use: SEWER CONNECTION
Applicant: RYCHALSKI, GAIL D
1219 S DISHMAN RD
SPOKANE, WA 99206
Contact: RYCHALSKI, GAIL D
1219 S DISHMAN RD
SPOKANE, WA 99206
Phone: (509) 926-7580
Phone: (509) 926-7580
Setbacks - Front: Left: . Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: OWNER License //: OWNER
PROCESSING FEE
S15.00 SI SEWER CONNECTION •
5125,00
Total Permit Fee: $140 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 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE \VA 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
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
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 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 RC\V 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees
$140.00
AmountPaid AmountOwinr
$140.00 $0.00
Tran Date Receipt # Payment Amt
8/16/2010 3460 $140.00
Processed By: DOMPIER, DAWN
Printed By: Force, Faith Page - 1 of 1
PERMIT