2008, 08-22 Permit: 08004720 SewerSPOKANT COMFY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 3403 N EDGERTON RD
Parcel Number: 45063.3620
Subdivision: RANGE
Block: Lot:
Zoning:
Owner: VAN EGMOND, WILLEM
Address: 3403 N EDGERTON RD
SPOKANE, WA 99212-1922
Building Inspector: None
Water Dist: ORCIIARD AVENUE
Project Number: 08004720 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION - ORCHARD AVE
Applicant: VAN EGMOND, WILLEM
3403 N EDGERTON RD
SPOKANE, WA 99212-1922
Contact: VAN EGMOND. WILLEM
3403 N EDGERTON RD
SPOKANE. WA 99212-1922
Setbacks - Front: Left: Right:
Group Name:
Project Name:
8/22/2008
Phone: (509) 000-0000
Phone: (509) 000-0000
Rear:
Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
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.
**INSTALLER IS RESPONSII3LE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
13E REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER 1510 FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY 011IER EXCAVATION.
**SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
ANI) ARE CLEAR AND UNOI3SIRUCTED 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 AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTI-I STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES TI -IE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
**CALL 1-800-4245555 BEFORE YOU DIG --AT LEAST 2 ,,WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIRENIENISOF THE WA SPATE DEPT OF LABOR & INDUSTRIES,
INCLUDING TFIOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees AmountPaid AmountOwins
$100.00 $100.00
$0.00
Tran Date Receipt # Payment Amt
8/22/2008
Processed By: DOMPIER, DAWN
Printed By: Lumley. Linda Page 1 of 1
4074 $100.00
PERMIT