2006, 03-02 Permit: 06001141 SewerSPOKANE CLDU Y
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 2222 N DORA RD
Parcel Number: 35124.0402
Subdivision: DORAS SUB
Block: Lot:
Zoning: UNK Unknown
Owner: BUTLER, DAVID
Address: 2222 N DORA RD
SPOKANE, WA 99212
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 06001 141 Inv: I Issue Date: 3/2/2006
Permit Use: SEWER CONNECTION
Applicant: BUTLER, DAVID
2222 N DORA RD
SPOKANE, WA 99212 Phone: (509) 891-9275
Contact: BUTLER, DAVID
2222 N DORA RD
SPOKANE, WA 99212 Phone: (509) 891-9275
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
1 Permits I
Server Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION
1 $85 00 PROCESSING FEE 1 $15.00
Total Permit Fee: SI00.00
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPITIAT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES. -$
Th ;_
THE INSTALLER IS RESPONSIBLE TO INSURE ALLfWASTEWATER 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 ARE TO BE CHECKED PRIOR/TO CONNECTION TOENSURETHIAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED4TO.THE� ....,. MAINtSEWER LINES. SHOULD BE CONSTRUCTED TO ALLOW FOR
ems, -
GRAVITY FLOW FROM THE LOWEST LEVEL'OE�THE, STRUCTURE S:`�_'�'„`-,.r' SS
r�»:4t.,r', ..u.r+r;�:.vi tk.�.. 'tia
THE INSTALLER AND THIS PERMIT MU',BEI RESENT2AT__THE JOB;SFTEiAT THESCHEDULED INSPECTION TIME.
BOTH STATE LAW RCN 19.122 AND COUNTY CODE,REQUIRES THE-�INSTALLER;TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIE,..-rr— r'�';
CALL 1-800-424-5555 BEFORE YOU DIGziAT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY(WITHALL REQUIREMENTS OF.THE WA.STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFYM � J
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;1 � � tl
Payment Summary
Total Fees AmountPaid AmountOwing
5100.00 $100.00 50.00
Tran Date Receipt # Payment Amt
3/2/2006 919 $100.00
Processed By: DOMPIER, DAWN
Printed By: WENDEL, GLORIA Page I of I
PERMIT