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2007, 08-03 Permit: 07005227 Sewer1 SPOMN COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 3303 N ELY RD Parcel Number: 45063.4108 Subdivision: ORCHARD AVE ADD TR 1-228 Block: Lot: Zoning: AGS Owner: PEDERSEN, KRIS J. Address: 3303 N ELY RD SPOKANE, WA 99212 Building Inspector: NONE Water Dist: Project Number: 07005227 Inv: 1 Issue Date: 8/3/2007 Permit Use: SEWER CONNECTION - SIPPLE Applicant: NORMS EXCAVTING INC PO BOX 574 VERADALE, WA 99037 Contact: NORMS EXCAVTING INC PO BOX 574 VERADALE, WA 99037 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 928-0580 Phone: (509) 928-0580 Rear: 1 Permits 1 Sewer Connection Permit Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM 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 13E 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 PRESENT 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 -REQUIREMENTS OF THE WASTATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY.: Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date Receipt # Payment Amt 8/3/2007 4445 $100.00 Processed By: Hargrove, Heidi Printed By: HINTZ, FAITH Page 1 of 1 PERMIT