2011, 08-29 Permit: 11004329 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
—_— - 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOKANE COUMY
Site Information
Project Information
Site Address: 3823 N EDGERTON RD
Parcel Number: 45063.2209
Subdivision: CONVERTED CNTY DATA
Block: Lot
Zoning: AGS
Owner: WALSH. ROI3ERT D & MOLLY J
Address: 3823 N EDGERTON RD
SPOKANE, WA 99212
Building Inspector: NONE
Water Dist:
Project Number: 11004329 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION
8/29/2011
Applicant: WALSH, ROBERT D & MOLLY I
3823 N. EDGERTON RD.
SPOKANE, WA 99212 Phone: (509) 216-6686
Contact: WALSH, ROBERT D & MOLLY J
3823 N. EDGERTON RD
SPOKANE, WA 99212 Phone: (509) 216-6686
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Rear:
Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION I $125.00 PROCESSING FEE
I $25.00
Total Permit Fee: $150.00
**FOR SE\VER 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. J -
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWA'T'ER DRAINS ARE CONNECTED To THE SEWER AND MAY
13E REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSLTION OF SE\VER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SE\VERSARE 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 CO\VEST LEVEL,OF THE STRUC1URE.'
**THE INSTALLER AND TNIS PERMIT MUST BE ('RESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
BOTH STATE LA\V RC\V 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 IE INSTALLER COMPLY WITH ALL REQUIREMENTS OP THE WA STATE DEPT 01' LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees AmountPaid AmountOwing
515000 5150.00 $000
Tran Date
8/29/2011
Processed By: SHATF0, JULIE
Printed By: Force, Faith Page I of 1
Receipt # Payment Amt
3802 5150.00
PERMIT