2011, 09-01 Permit: 11004431 SewerSPOKANF COUMY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 2904 N DORA RI)
Parcel Number: 35121.2605
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: CAREY, MICHAEL
Address: 2904 N DORA RD
SPOKANE. WA 99212
Building Inspector: NONE
Water Dist:
Project Number: 11004431 Inv: I Issue Date: 9/1/2011
Permit Use: SEWER CONNECTION
Applicant: LARRY MILLER EXCAVATING
7117 E RUTTER AVE
SPOKANE, WA 99212 Phone: (509) 218-3335
Contact: LARRY MILLER EXCAVATING
7117 E RUTTER AVE
SPOKANE, WA 99212 Phone: (509) 218-3335
Setbacks - Front:
Group Name:
Project Name:
Left: Right: Rear:
Permits
Sewer Connection Permit
Contractor: LARRY MILLER EXCAVATING License #: LARRYME9I8DR
SEWER CONNECTION 1 $125 00 PROCESSING FEE
1 $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 WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR K INDUSTRIES.
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**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 OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARG TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT TI IEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALIO\V FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTI I STATE LA\V RCW 19.122 AND COUNTY CODE REQUIRES THEINSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing
$150.00 $150.00 $0.00
Tran Date Receipt # Payment Amt
9/1/2011 3879 5150.00
Processed By: SHATTO, JULIE
Printed By: Force, Faith Page 1 of I
PERMIT