2005, 09-23 Permit: 05007165 SewerI
SPOKARE Cowry
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
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Site Information
Project Information
Site Address: 909 S DOLLAR RD
Parcel Number: 35243.0210
Subdivision: SYMONS ADD
Block: Lot:
Zoning: AGS
Owner: KEISNER, SUSAN
Address: 909 S DOLLAR RD
SPOKANE, WA 99212
Building Inspector: NONE
Water Dist:
Project Number: 05007165 Inv: I Issue Date: 9/23/2005
Permit Use: SEWER CONNECTION - WOODLAWN/BEVERLY HILLS
Applicant: H & S CONSTRUCTION
11817 E. VALLEYWAY AVE
SPOKANE WA 99206
Contact: H & S CONSTRUCTION
11817E VALLEYWAY AVE
SPOKANE WA 99206
Setbacks - Front: Left: Right:
Croup Name:
Project Name:
Phone: (509) 926-8964
Phone: (509) 926-8964
Rear:
Permits I
Sewer Connection Permit
Contractor: H & S CONSTRUCTION License #: HSCON•'123KF
SEWER CONNECTION
1 585.00 PROCESSING FEE 1 515.00
3y Total Permit Fee:
A
FOR SEINER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
14.40k
Call for inspection prior to cover. ONE WORKING DAY_NOTICE REQUIRED.
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Contractor or applicant is to field locate and confirm the eleya�ioand position of sewer stub prior to any other excavation.
Sewer stubs arc to be checked prior to connection to ensued thatthey have acceptable grade and are clear and unobstructed to the main
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sewer. Sewer lines should be constructed to allow for gravity flowfroni the'aowes[ Icvcl of the structure.
This permit must be presented to the Job site inspector for verification. To Iocateburied cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000. Y.t.ofr, � rrk ,,'. "l' rt; :It
A.
STATE LAW RCW 19.122 REQUIRES THAT;PRIOR TO ANY'EXCAVATION I;HE' CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG ATLEASTr2'WORKING:DAYS INYADVANCEl'(509)456-8000.
' ='3 .45A 4`FSIPi1
Spokane County Code requires the installer comply with:all,rcgmrements of the Washington State Dept of Labor and Industries,
including those related to trench safety. "-'''""`��'•`"""""'-^'�"'�a?"'e�-��''
S 100.00
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POyin:Tt' rnaryrl 11 IN II Y
Total Fees AmountPaid AmountOwing
5100.00 5100.00
50.00
Tran Date Receipt # Payment Amt
5879 5100.00
9/23/2005
Processed Bs': DOMPIER, DAWN .
Printed By: WENDEL, GLORIA Page I of I
PERMIT
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