2011, 10-07 Permit: 11005178 SewerSPOKA9 COUNTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 11820 E EMPIRE AVE Project Number: 11005178 Inv: 1 Issue Date: 10/7/2011
Permit Use: SEWER CONNECTION
Parcel Number: 45044.6321
Subdivision: GRANDVIEW ACRES
Block: Lot:
Zoning: B-2 Community Business
Owner: SCHMITT, DELVIN & DELLA
Address: 12814 F, 15TH
SPOKANE, WA 99216
Building Inspector: JOHN LARSON
Water Dist:, IRVIN
Applicant: POUL CONSTRUCTION
18902 E 2ND AVE
SPOKANE VALLEY, WA 99016 Phone: (509) 979-5872
Contact: POUL CONSTRUCTION
18902 E 2ND AVE
SPOKANE VALLEY, WA 99016 Phone: (509) 979-5872
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: POUL CONSTRUCTION License #: POULCC*932BQ
SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25.00
Total Permit Fee: $150.00
**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 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.
Total Fees AmountPaid AmountOWin2
$150.00 $150.00 $0.00
Payment Summary
Tran Date Receipt # Payment Amt
10/7/2011 4542 $150.00
Processed By: SHATTO, JULIE PERMIT
Printed By: Force, Faith Page 1 of 1