2006, 04-24 Permit: 06002383 SewerSPOY, N CouKIY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 1222 S DISHMAN RD
Parcel Number: 45203.0902
Subdivision: SIESTA MOBILE PARK DIST ADD
Block: Lot:
Zoning: UR -7 Urban Residential -7
Owner: BLUE, BILL
Address: 1222 S DISHMAN RD
SPOKANE VALLEY, WA 99206
Building Inspector: None
Water Dist: SPO CO WATER DIST#3A
Project Number: 06002383 Inv: 1 Issue Date: 4/24/2006
Permit Use: SEWER CONNECTION - SHERWOOD FOREST
Applicant: T L C CONSTRUCTION
9006 S HAYFORD RD
CHENEY, WA 99004 Phone: (509) 927-6760
Contact: T L C CONSTRUCTION
9006 S HAYFORD RD
CHENEY, WA 99004 Phone: (509) 927-6760
Setbacks - Front: Left: Right: Rear:
Croup Name:
Project Name:
Sewer Connection Permit
Permits I
Contractor: TLC CONSTRUC'T'ION License #: TLCCO**107M6
SEWER CONNECTION
1 $85 00 PROCESSING FEE 1 $15.00
Total Permit Fee: 510000
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.
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 PRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED" TO THE MAIN. 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 RCW 19.122 AND COUNTY_CODE REQUIRES THE INSTALLER__TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES. -_ -- -- — — '
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 WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees AmountPaid AmountOwing
5100.00 $100.00
$0.00
Tran Date Receipt # Pavment Amt
4/24/2006
Processed By: CUMMINGS, KATHY
Printed By: WENDEL, GLORIA Page 1 of I
1956 $100.00
PERMIT