2009, 03-27 Permit: 09001034 SewerSPOKANT Cow i
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 11215 E EMPIRE AVE
Parcel Number: 45043.0714
Subdivision: CONVERTED CNTY DATA
Block: Lot:
Zoning: UNK
Owner: BROWN, KERMIT W
Address: 11215 E EMPIRE AVE
SPOKANE, WA 99206
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 09001034 Inv: 1 Issue Date: 3/27/2009
Permit Use: SEWER CONNECTION - GRANDVIEW ACRES
Applicant: BROWN, KERMIT W
11215 E EMPIRE AVE
SPOKANE, WA 99206
Contact: BROWN, KERMIT W
11215 E EMPIRE AVE
SPOKANE, WA 99206
Setbacks - Front:
Group Name:
Project Name:
Phone: (509) 928-5563
Phone: (509) 928-5563
Left: Right: Rear:
Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION
1 $85.00. PROCESSING FEE 1 515.00
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 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.
**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.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00 $0.00
Tran Date Receipt # Payment Amt
3/27/2009 964 $100.00
Processed By: SHATTO, JULIE
Printed By: HINTZ, FAITH Page 1 of 1
PERMIT