2010, 10-06 Permit: 10005482 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 11710 E EMPIRE AVE Project Number: 10005482 Inv: I Issue Date: 10/6/2010
Parcel Number: 45044.0916
Subdivision: GRANDVIEW ACRES
Block:6 Lot: 9
Zoning: UNK Unknown
Owner: SHRYOCK, SCOTT A & TAMARA S
Address: 11710 E EMPIRE AVE
SPOKANE, WA 99206-4579
Building Inspector: JOHN LARSON
Water Dist: IRVIN
Permit Use: SEWER CONNECTION
Applicant: TILTON EXCAVATION, LLC
4304 N CANAL
OTIS ORCHARDS, WA 99027
Contact: TILTON EXCAVATION, LLC
4304 N CANAL
OTIS ORCHARDS, WA 99027
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (509) 280-6400
Phone: (509) 280-6400
Rear:
IPermits
Sewer Connection Permit Contractor: TILTON EXCAVATION LLC License #: TILTOEL937BT
PROCESSING FEE 1 $15.00 S I 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 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.
Total Fees AmountPaid AmountOwing
$140.00 $140.00 $0.00
Processed By: CUMMINGS, KATHY
Printed By: Force, Faith
Payment Summary
Tran Date Receipt # Payment Amt
10/6/2010 4467 $140.00
Page 1 of 1
PERMIT