2012, 07-18 Permit: SW-12001779 SewerSPOKANE COU!TY-BJILDING AND PLANNING
PERMIT
Application Number: SW -12001779
Permit Issued Date:
07/18/2012
Expiration Date:
Project Description:
Project Name:
Permit Type:
SEWER CONNECTION
ROCKWELL
SEWER
Primary Contact: KEMPLE, MITCHELL C & JAMIE A
Applicant: KEMPLE, MITCHELL C & JAMIE A
Address: 4422 N EVERGREEN RD
SPOKANE, WA 99216-1277
Phone: 509-928-9259
Email:
SITE INFORMATION:
Site Address:
Parcel Number:
Subdivision:
Assessor's Description:
Inspection Area:
Zoning:
4422 N EVERGREEN RD
45022.2905
SP -1157-97
Section 02 Township 25 Range 44, TRENTWOOD
ORCHARDS, SP 97-1157, TR 'A' AUDITOR'S
#4293859, BK 15, PG 88.
Owner:
Address:
Phone:
Email:
KEMPLE, MITCHELL C & JAMIE A
4422 N EVERGREEN RD
SPOKANE, WA 99216-1277
509-928-9259
Water District: Trentwood Fire District: Spokane Valley Fire
Irrigation District #3
Land Area: 23874 Square Feet
CONTRACTOR INFORMATION:
Owner Acting As Builder
OWNER
OWNER
NOT KNOWN AT TIME OF ENTRY
UNKNOWN, UK 00000
DETAILS:
Class
Type
Quantity Unit Charge Value
SEWER SEWER CONNECTION
FEE DETAIL:
Processing - Utilities
Utilities Permit
1 $125.00 $125.00
Total Fee:
$125.00
$25.94
$125.00
$150.94
ink
CONDITIONS:
Inside Public Transit Benefit Area
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.
Date Printed: 07/18/2012 09:00:57
Printed by: IIS APPPOOL\ASP.NET v4.0
SPOKANE COU4s1„ TY BUILDING AND PLANNING
PERMIT
Application Number: SW -12001779
Permit Issued Date:
07/18/2012
Expiration Date:
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.
Date Printed: 07/18/2012 09:00:57
Printed by: IIS APPPOOUASP.NET v4.0