2012, 02-22 Permit: 12000525 SewerSPOKW Cows
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 11805 E EMPIRE AVE Project Number: 12000525 Inv: 1 Issue Date: 2/22/2012
Parcel Number: 45044.0204
Subdivision: GRANDVIEW ACRES, 01 ST ADD
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: CLARK, STEVEN R
Address: 11805 E EMPIRE AVE
SPOKANE, WA 99206
Building Inspector: JOHN LARSON
Water Dist:
Permit Use: SEWER CONNECTION
Applicant: CLARK, STEVEN R.
11805 E. EMPIRE AVE.
SPOKANE VALLEY, WA
Contact: CLARK, STEVEN R.
11805 E. EMPIRE AVE.
SPOKANE VALLEY, WA
99206
99206 Phone: (509) 993-6247
Phone: (509) 993-6247
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer COntteetim Permit Contractor: OWNER License #: OWNER
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 8:3 0-5:00, MONDAY-FRI DAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR 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 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.
**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 AmountOwin2
$150.94 $150.94 $0.00
Tran Date Receipt # Payment Amt
2/22/2012 498 $150.94
Processed By: SHATTO, JULIE PERMIT
Printed By: Force, Faith Page I of 1