2011, 04-04 Permit: 11001207 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOT CoUKry
Site Information
Project Information
Site Address: 2914 N DORA RD
Parcel Number: 35121.2602
Subdivision: ORCI IARD AVE ADD TR 1-228
Block: Lot:
Zoning: AGS
Owner: SWENSON. JESSE
Address: 2914 N DORA RD
SPOKANE, \VA 99212
Building Inspector: JOHN LARSON
NVatcr Dist:
Project Number: 11001207 Inv: I Issue Date: 4/4/2011
Permit Use: SEWER CONNECTION
Applicant: JESSE SWENSON
2914 N. DORA
SPOKANE, WA 99212 Phone: (509) 953-5057
Contact: JESSE SWENSON
2914 N. DORA
SPOKANE, WA 99212 Phone: (509) 953-5057
Setbacks -Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION
1 $125 00 PROCESSING FEE 1 $25 00
Total Permit Fee: $150.00
**FOR SEVER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5.00 MONDAY -FRIDAY PRIOR "I'0
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 WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
13E REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SE\VER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE TO,BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLO\V FOR GRAVITY FLOW FROM THE LOWEST LEVEL -6F THE STRUCTURE',
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT -AT THE JOB SITE'AT THE SCHEDULED INSPECTION TIME
BOTH STATE LAW RC\V 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES. - - -
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY \VITH ALL REQUIREMENTS OF THE \VA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY
Payment Summary
Total Fees
$150 00
AmountPaid
$150 00
AmountOwing
$0.00
Tran Date Receipt # Payment Amt
4/4/2011 1070 $150.00
Processed By: CUMMINGS, KATHY
Printed By: Force, Faith Page 1 of I
PERMIT