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2007, 01-25 Permit: 07000368 SewerSPOKANE COUNTY i '° i DEPARTMENT OF BUILDING & PLANNING SPOK HuAk 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Site Address: 3417 N ELTON RD Parcel Number: 45063.3209 Subdivision: ORCHARD AVE ADD TR 1-228 Block: Lot: Zoning: UNK Unknown Owner: ATKINS, MARY Address: 3417 N ELTON RD SPOKANE, WA 99212 Building Inspector: None Water Dist: Project Information Project Number: 07000368 Inv: 1 Issue Date: 1/25/2007 Permit Use: SEWER CONNECTION - ORCHARD AVE Applicant: H & S CONSTRUCTION 11817 E VALLEYWAY AVE SPOKANE, WA 99206 Contact: H & S CONSTRUCTION 11817 E VALLEYWAY AVE SPOKANE, WA 99206 Setbacks - Front: Left: Right: Permits Group Name: Project Name: Sewer Connection Permit Contractor: H & S CONSTRUCTION'J License #: HSCON**123KF Phone: (509) 926-8964 Phone: (509) 926-8964 Rear: SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 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. THE 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 ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL `OF'THE STRUCTURE. THE INSTALLER AND THIS PERMIT MUST BE PRESENTAT 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'_ CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING'DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMPLY WITH ALL' REQUI,REMENTS'OF THE WA -STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH_SAFETY:;t Payment Summary Total Fees AmountPaid AmountOwinp- Tran Date Receipt # Payment Amt $100.00 $100.00 $0.00 1/25/2007 327 $100.00 Notes / Conditions of Approval THIS SITE IS IN THE CITY OF SPOKANE VALLEY. Processed By: SHATTO, JULIE PERMIT Printed By: Lemley, Linda Page I of I