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2012, 03-14 Permit: 12000759 SewerSPox' C0IKFY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 11218 E EMPIRE AVE Parcel Number: 45043.1010 Subdivision: GRANDVIEW ACRES Block: 7 Lot: 7-8 Zoning: AGRI Owner: SMITH, BRYON & SANDRA Address: 11218 E EMPIRE AVE SPOKANE, WA 99206 Building Inspector: JOHN LARSON Water Dist: Project Number: 12000759 Inv: 1 Issue Date: 3/14/2012 Permit Use: SEWER CONNECTION Applicant: GOBER'S, LLC 11215 E TRENT AVE SPOKANE, WA 99206 Contact: GOBER'S, LLC 11215E TRENT AVE SPOKANE, WA 99206 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 924-5372 Phone: (509) 924-5372 Rear: Permits Sewer Connection Permit Contractor: GOBER'S, LLC License #: GOBERL*899L7 SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25.94 Total Permit Fee: $150.94 **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 AND DRY SIDE SEWERS ARE TO BE CHECKED 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 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 $150.94 $150.94 $0.00 Tran Date 3/14/2012 Processed By: SHATTO, JULIE Printed By: Force, Faith Page 1 of 1 Receipt # Payment Amt 697 $150.94 PERMIT