2006, 06-20 Permit: 06004090 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
SPO CO 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 2117 N DORA RD
Parcel Number: 35124 0306
Subdivision: DORAS SUB
Block:
Zoning: UNK
Lot:
Unknown
Owner: GLESSNER, DANIEL
Address: 2117 N DORA RD
SPOKANE, WA 99212
Building Inspector: NONE
Water Dist:
Project Number: 06004090 Inv: I Issue Date:
Permit Use: SEWER CONNECTION - EDGERTON
Applicant: H & S CONSTRUCTION
11817 E VALLEY WAY AVE
SPOKANE, WA 99206
Contact: H & S CONSTRUCTION
11817 E VALLEY WAY AVE
SPOKANE, WA 99206
Setbacks - Front:
Croup Name:
Project Name:
6/20/2006
Phone: (509) 926-8964
Phone: (509) 926-8964
Left: Right: Rear:
IPermits I
Sewer Connection Permit
Contractor: II & S CONSTRUCTION License#: HSCON**123KF
SEWER CONNECTION
I $85.00 PROCESSING FEE 1 515.00
Total Permit Fee: $100.00
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.
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 OTHEREXCAVATION.
-+e 7
SEWER STUBS ARE TO BE CHECKED PRIOR',TO CONNECTION ONSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTEDtTO THET
YMIAIN: SEWER-L'INESISHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LE V EL•'OF.,THE STR UGTURE.4> "4pl`e
THE INSTALLER AND THIS PERMIT MUSTBEIPRESENTATTHE JOB:SITEjAT;THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNT Y CODEREQUIRES,THE'INSTAELERffO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES—�:�
.- -e-. C 7--'—'�'""-- "'-
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 T
OF El WASTATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY, jl`a'n t, 11 p'y'4 #;�,i
Payment Summary
Total Fees AmountPaid AmountOwing
S10000 S100.00 $0.00
Tran Date Receipt # Payment Amt
6/20/2006 3272 $100.00
Processed By: SHATTO, JULIE
Printed By: HINTZ, FAITH Page 1 of 1
PERMIT