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2011, 07-19 Permit: 11003427 SewerSPOKANT COU1IIY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 2816 N DORA RD Parcel Number: 35121 3106 Subdivision: CI'T'Y OF SPOKANE VALLEY Block: Zoning: UR -3 Lot: Urban Residential 3.5 Owner: DALPEZ, THOMAS J Address: 2816 N DORA RD SPOKANE, WA 99212 Building Inspector: JOHN LARSON Water Dist: Project Number: 11003427 Inv: I Issue Date: 7/19/2011 Permit Use: SEWER CONNECTION Applicant: SUMMIT EXCAVATING PO BOX 1 191 \'ERADALE, WA 99037 Phone: (509) 842-8132 Contact: SUMMIT EXCAVATING PO BOX 1191 VERADALE, WA 99037 Phone: (509) 842-8132 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: SUMMIT EXCAVATION/CONST CO LLC License#: SUMMIEC904117 SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 525 00 Total I'crniit Fee: $150 00 **FOR SEWER INSPEC'T'IONS CALL THE UTILI'T'IES 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. • "INSTALLER IS RESPONSIBLE TO INSURE ALL WASTE\VA'TER DRAINS ARE CONNECTED TO'ITE 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 OTI TER EXCAVATION. "SEWER STUBS AND DRY SIDE SEWERS ARE TO 13E CHECKED PRIOR -TO CONNECTION TO ENSURE THAT THEY IIAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SE\VER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. **THE INSTALLER AND THIS PERMIT MUST BB PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LA\V RCN 19 122 AND COUNTY CODE REQUIRES TI IE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. - - • •- - r. **CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST ;WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES II -IE INSTALLER COMPLY WITI I AL1. REQUIREMENT'S OF TFI1 WA STATE DEPT OF LAI3012 & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCII SAFETY. Payment Summary Total Fees AmountPaid AmountOwinp $150.00 5150.00 $0.00 Tran Date Receipt # Payment Amt 7/19/2011 2993 $150.00 Notes I Conditions of Approval FIRE DIS'TRICI' #1 - PLAN REVIE\V FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY FD #1. Processed By: DOMPIER, DAWN Printed By: Lemley, Linda Page 1 of 1 PERMIT