2009, 11-04 Permit: 09005807 SewerCO-
SPoi t' UUKTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 10817 E EMPIRE AVE
Parcel Number: 45043.0305
Subdivision: GRANDVIEW ACRES
Block: Lot:
Zoning: AGR
Owner: BAKER, JOANNE
Address: 10817 E EMPIRE AVE
SPOKANE, WA 99206
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 09005807 Inv: 1 Issue Date: 11/4/2009
Permit Use: SEWER CONNECTION
Applicant: LONG EXCAVATING
PO BOX 305
VALLEYFORD, WA 99036
Contact: LONG EXCAVATING
PO BOX 305
VALLEYFORD, WA 99036
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 924-4782
Phone: (509) 924-4782
Rear:
Permits
Sewer Connection Permit
Contractor: LONG EXCAVATING License 4: LONGE*077DK
PROCESSING FEE
1 $15.00 SI SEWER CONNECTION 1 $125.00
Total Permit Fee: $140.00
**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 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 SEWER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS ARE TO BE 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 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
$140.00 $140.00 $0.00
Tran Date
11 /4/2009
Processed By: DOMPIER, DAWN
Printed By: HINTZ, FAITH Page 1 of 1
Receipt # Payment Amt
4834 $140.00
PERMIT