2011, 02-16 Permit: 11000485 SewerSPOKARE COUNTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
2
Site Address: 3719 N EDGERTON RD
Parcel Number: 45063.2304
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: UNK Unknown
Owner: FRONCKOWIAK, DANIEL
Address: 3719 N EDGERTON RD
SPOKANE, WA 99212
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 11000485 Inv: 1 Issue Date: 2/16/2011
Permit Use: SEWER CONNECTION
Applicant: SCHELLENBERG EARTHWORKS
PO BOX 3271
SPOKANE, \VA 99220 Phone: (509) 993-3694
Contact: SCHELLENBERG EARTHWORKS
PO BOX 3271
SPOKANE, WA 99220 Phone: (509) 993-3694
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: SCHELLENBERG EARTHWORKS License#: SCHELE*973D4
SEWER CONNECTION I 512500 PROCESSING FEE 1 525.00
Total Permit Fee: 5150.00
**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 TIIE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWA'T'ER DRAINS ARE CONNECTED TO THE SE\VER 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 CI IECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM TFIE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND TIIIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTII 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 Amount Paid A mon nt Owing
$150.00 $150.00 $0 00
Tran Date
2/16/2011
Processed By: CUMMINGS, KATHY
Printed By: Force, Faith Page I of I
Receipt # Payment Amt
482 $150.00
PERMIT