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2011, 06-10 Permit: 11002655 SewerSPoKAKE CouR Y SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 3524 N EDGERTON RD Parcel Number: 45063.3503 Subdivision: ORCI IARD AVE ADD TR 1-228 Block: 53 Lot: Zoning: UNK Unknown Owner: TYSEL, DEBBIE Address: 3524 N EDGEI2TON RD SPOKANE, WA 99212-1923 Building Inspector: Water Dist: Project Number: 11002655 Inv: I Issue Date: 6/10/2011 Permit Use: SEVER CONNECTION Applicant: ACME EXCAVATING 6808 S LINKE RD GREENACRES, \VA 99016 Phone: (509) 251-8058 Contact: ACME EXCAVATING 6808 S LINKE RD GREENACRES, WA 99016 Phone: (5(19) 251-8058 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: ACME EXCVT & SEWER BORING CO License#: ACMEEES963LD SEVER CONNECTION 1 5125 00 PROCESSING FEE 1 525.00 Total Permit Fee: S150 00 **FOR SE\VER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8'30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE \VORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. **CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS 1N 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 SEWERSfUEFPRIOR TO ANY OTHER EXCAVATION **SE\VER STUBS AND DRY SIDE SEVERS ARE TO -BE CI IECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SE\VER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE'LO\VEST LEVEL OF THE STRUCTURE **THE INSTALLER AND THIS PERMIT MUST,BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. 130T11 STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THEINSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. Payment Summary Total Fees AmountPaid AmountOwing $150.00 8150.00 $0.00 Tran Date Receipt # Payment Amt 6/10/2011 Processed By: CUMMINGS, KATIIY Printed By: Force, Faith Page 1 of 1 2318 $150.00 PERMIT