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2007, 03-27 Permit: 07001566 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING t" 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 SI'OKt11 COI1t�TS 1 Site Information Project Information 1 Site Address: 3100 N EDGERTON RD Parcel Number: 45072.0410 Subdivision: CONVERTED CNFY DATA Block: Lot: Zoning: UNK Owner: PFLEPSEN. JAMES D Address: 3100 N EDGERTON RD SPOKANE. WA 99212 Building Inspector: NONE Water Dist: Project Number: 07001566 Inv: 1 Issue Date: 3/27/2007 Permit Use: SEWER CONNECTION - SIPPLE Applicant: PFLEPSEN, JAMES D. 3100 N EDGERTON RD SPOKANE. WA 99212 Phone: (509)953-1068 Contact: PFLEPSEN. JAMES D. 3100 N EDGERTON RD SPOKANE. WA 99212 Phone: (509) 953-1068 Setbacks Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION !$ FOR SEWER INSPECTIONS CALL [1113 UTILITIES UHPI'IAl'(5119) 477-3604 FROM 8 30-500 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED PI3RMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL. INSPECTION FEES APPLY AFTER 30 MINUTES. )li %f4 I1 1 THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTIEWATER DRAINS ARE CONNECTED' f0 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 TQANY,OTHER EXCAVATION. t - - SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNEGTION TOt ENSURE THAT THEY HAVE ACCEPTABLE GRADIS AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN SEWER LINES SI IOULD BE CONSTRUCTED TO ALI.OW FOR GRAVITY PLOW FROM THE LOWEST LEVEL OF TI I I3 STRUCTURE THE INSTALLER AND THIS PERMIT MUST BEPRI:SI N'I'IAT THEj10I3 SITE' AT THE SCI IEDULED INSPECTION TIME. BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION' f0 OWNERS OF UNDERGROUND FACILITIES .J !ii TNI ILII CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMI'LY;WITH AL(REQUIREMENTStOF P111 \VATSTATE DEPT OF LABOR & INDUSTRIES. INCLUDING THOSE RELATED TO TRENCH,SAFETYral \iL/'i.i''ILL J 1 .1 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 1 Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date 3/27/2007 3/27/2007 3/27/2007 Receipt # 1339 1341 1342 Payment Amt $100.00 ($100.00) $100.00 Notes / Conditions of Approval THIS SITE IS IN THE CITY OF SPOKANE VALLEY. Processed By: 1 Iargrove. Heidi Printed By: Lemlcy. Linda Page I of 1 COPY