2011, 09-27 Permit: 11004939 SewerSPOKW Covl'kTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 10724 E EMPIRE AVE
Parcel Number: 45043.0614
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: LABELLE, D G & J
Address: 10724 E. EMPIRE AVE.
SPOIKANE, WA 99206
Building Inspector:
Water Dist:
Sewer Connection Permit
Project Number: 11004939 Inv: 1 Issue Date: 9/27/2011
Permit Use: SEWER CONNECTION
Permits
Contractor: KALIN EXCAVATION
Applicant: KALIN EXCAVATION
9229 E WOOLARD RD
COLBERT, WA 99003
Contact: KALIN EXCAVATION
9229 E WOOLARD RD
COLBERT, WA 99003
Setbacks - Front: Left
Group Name:
Project Name:
Phone: (509) 238-9437
Phone: (509) 238-9437
Right: Rear:
License #: KALINE*0431B
SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25.00
Total Permit Fee: $150.00
**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.
**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 T13E WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATERDRAINS 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 AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE TI -IAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. 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.
BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing Tran Date Receipt # Payment Amt
$150.00 $150.00 $0.00 9/27/2011 4318 $150.00
Processed By: SHATTO, JULIE PERMIT
Printed By: Force, Faith Page 1 of l