2006, 05-23 Permit: 06003321 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING9
SvacnRECOUNCY 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
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Site Information
Project Information
Site Address: 2118 N DORA RD
Parcel Number: 35124.0406
Subdivision: ASSESSORS PLAT # 01
Block: Lot:
Zoning: UNK Unknown
Owner: WICKHAM, DWIGHT/KENNEDY-WICK
Address: 2118 N DORA RD
SPOKANE, WA 99212
Building Inspector:
Water Dist:
Sewer Connection Permit
Project Number: 06003321 Inv: I Issue Date: 5/23/2006
Permit Use: SEWER CONNECTION - EDGERTON
Applicant: H & S CONSTRUCTION
11817 E VALLEY WAY AVE
SPOKANE, WA 99206 Phone: (509) 926-8964
Contact: H & S CONSTRUCTION
11817 E VALLEY WAY AVE
SPOKANE, WA 99206 Phone: (509) 926-8964
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits I
Contractor: H & S CONSTRUCTION License#: HSCON**123KF
SEWER CONNECTION
I $85 00 PROCESSING FEE 1 $15.00
Total Permit Fee: $100.00
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FOR SEWER INSPECTIONS CALL THE UTILITIES DEP.T'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 STUBVPRIOR TO ANY OTHER EXCAVATION.
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTEDJO THE MAIN: SEWER .LINES;SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEilfoR: HE!STRUCTURE'":; 7<<N', '
THE INSTALLER AND THIS PERMIT MUSTBE PRESENTAT THE JOB SITE -AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LAW RCW 19.122 AND COUNTY.CODE REQUIRES THE)NSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.---,'"—�"=7='-----:z_�
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,
H S
INCLUDING THOSE RELATED TO TRENCAFETY: l.c5 1 , ''>J;1 it �Y
UA \USSd ��-_7�1/ %d.& \ L a
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Payment Summary
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Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
5/23/2006
Processed By: CUMMINGS, KATHY
Printed By: WENDEL, GLORIA Page 1 of 1
2677 $100.00
PERMIT