2011, 08-11 Permit: 11003956 SewerSPOKARE COUNTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 2110 N DORA RD
Parcel Number: 35124.0407
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: AGS
Owner: ROBERTS. RON
Address: 2110 N DORA RD
SPOAKNE, WA 99206
Building Inspector: NONE
Water Dist:
Project Number: 11003956 Inv: 1
Permit Use: SEWER CONNECTION
Applicant: MUELLER EXCAVATING
3743 W OLYMPIC
SPOKANE, WA 99205
Contact: MUELLER EXCAVATING
3743 W OLYMPIC
SPOKANE, WA 99205
Setbacks - Front:
Group Name:
Project Name:
Issue Date: 8/11/2011
Phone: (509)326-1016
Phone: (509) 326-1016
Left: Right: Rear:
Permits
Server Connection Permit
Contractor: MUELLER EXCAVATING License #: MUELLE*18IKK
SE\VER CONNECTION I $125.00 PROCESSING FEE I $25.00
Total Permit Fee: $150 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 \VII I ALL REQUIREMENTS OF THE \VA STATE DEPT OF LABOR & INDUSTRIES.
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL \VASTEWATER 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 FLO\V 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 LA\V RCW 19.122 AND COUNTY CODE REQUIRES Ti IE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid
$150.00 $150.00
AmountOwing
$0.00
Tran Date Receipt II
8/11/2011
Processed By: SHATTO, JULIE
Printed By: Force, Faith Page 1 of I
3476
Payment Amt
$150.00
PERMIT