2010, 09-13 Permit: 10004855 Seweri,
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING.
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOKAtq COLKTY
Site Information
Site Address: 4303 N ELLEN RD
Parcel Number: 45022.4403
Subdivision: TRENTWOOD ORCHARDS
Block: Lot:
Zoning: UNK Unknown
Owner: CLARK
Address: 4303 N ELLEN
SPOKANE, WA 99216
Building Inspector: JOHN LARSON
Water Dist:
Sewer Connection Permit
Project Information
Project Number: 10004855 Inv: 1 Issue Date: 9/13/2010 .
Permit Use: SEWER CONNECTION
Applicant: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Contractor: COURCHAINECONSTRUCTION License#: COURCC*181R7
PROCESSING FEE 1 $15.00 S I SEWER CONNECTION 1 $125.00
Total Permit Fee: $140.00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT A"i (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 & 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 ISTOFIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER 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
ALLOW 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.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
.OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing Traci Date Receipt # Payment Amt
$140.00 $140.00 $0.00 9i'l 3/2010 3942 $140.00
Processed By: CUMMINGS, KATHY PERMIT
Printed By: Force, Faith Page . 1 of I