2010, 06-17 Permit: 10003003 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 4420.N ELLEN RD Project Number: 10003003 Inv: 1 Issue Date: 6/17/2010
Parcel Number: 45022.2112
Subdivision: THROOP & FITZPATRICKS SUB
Block: Lot:
Zoning: AGR
Owner: BURLAKOV, RAISA
Address: 4420 N ELLEN RD
SPOKANE, WA 99216
Building Inspector: JOHN LARSON
Water Dist:.
Permit Use: SEWER CONNECTION
Applicant: NORMS EXCAVATING INC
PO BOX 574
VERADALE, WA 99037 Phone: (509) 928-0580
Contact: NORMS EXCAVATING INC
PO BOX 574
VERADALE, WA 99037 Phone: (509) 928-0580
Setbacks - Front: Left: Right: Rear:
Croup Name:
Project Name:
IPermits I
Sewer Connection Permit Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM
PROCESSING FEE 1 $15.00 SI SEWER CONNECTION 1 $125.00
Total Permit Fee: $140.00
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**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 30MINUTE 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 IS TO FIELD 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 Tran Date Receipt # Payment Amt
$140:00 $140.00 $0.00 6/17/2010 2482 $140.00
Notes / Conditions of Approval
FELTS FIELD AIRPORT OVERLAY ZONE
FIRE DISTRICT #1 - PLAN REVIEW FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY FD #1.
Processed By: DOMPIER, DAWN
Printed By: Force, Faith Page I of 1
PERMIT