2006, 04-28 Permit: 06002537 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 1225 S DISHMAN RD
Parcel Number: 45203.0803
Subdivision: SIESTA MOBILE PARK 01ST ADD
Block: Lot:
Zoning: UR -7 Urban Residential -7
Owner: EBY, DON
Address: 1225 S DISHMAN RD
SPOKANE, WA 99206-3114
Building Inspector: None
Water Dist:
Project Number: 06002537 Inv: 1 Issue Date: 4/28/2006
Permit Use: SEWER CONNECTION - SHERWOOD FOREST MICA
PARK
Applicant: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits I
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION License#: COURCC*181 R7
SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15 00
,y Total Permit Fee: $100.00
A
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPTAT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIREDTPERMIT 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. INSTAULER 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,TQ THE.MAINgSEWERI-EINES:SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL OF•THE STRUGTURErQM".kt<..y I�t;{
THE INSTALLER AND THIS PERMIT MUSTBE, PRESENT ATITHE JOB'SITE ATtTTHE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTYCODE REQUIRESITHE INSTAL'LER,TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES7-c- r-' — \-
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 SAFETY•. IC\X‘‘k,�,RAA)si N➢Q1 !I y
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Payment Summary
Total Fees Amount Paid AmountOwing
$100.00 5100.00 $0.00
Tran Date Receipt # Payment Amt
4/28/2006
Processed By: DOMPIER, DAWN
Printed By: WENDEL, GLORIA Page 1 of 1
2073 $100.00
PERMIT