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2011, 07-12 Permit: 11003219 SewerSPOKAK Cowry SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 2415 N ELIZABETH RD Parcel Number: 35121 5901 Subdivision: ORCI IARD AVE ADD TR 1-228 Block: Lot: Zoning: AGS Owner: MUNSON, JANI Address: 2415 N ELIZABETH RD SPOKANE. WA 99212 Building Inspector: NONE Water Dist: Project Number: 11003219 Inv: 1 Issue Date: 7/12/2011 Permit Use: SEWER CONNECTION Applicant: MR R00T'E12 INC PO BOX 3364 HAYDEN ID 83835 Contact: MR ROOTER INC PO BOX 3364 HAYDEN ID 83835 Phone: (208) 772-3091 Phone: (208) 772-3091 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Seiner Connection Permit Contractor: MR ROOTER PLUMBING INC License #: MRROOPI05116 SEWER CONNECTION 1 $125 00 PROCESSING FEE 1 $25 00 Total Permit Fre: $150.00 "FOIL 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 INSPEC'T'ION. 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 IDE CHECKED PRIOR TO CONNECTION TO ENSURE TI IAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLO\V 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. Payment Summary Total Fees AmountPaid AmountOwing $150.00 $150.00 $0.00 Tran Date 7/12/2011 Receipt # 2846 Payment Amt $150.00 Notes / Conditions of Approval FIRE DISTRICT #1 - PLAN REVIEW FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY PI) #I. Processed By: DOMPIER, DAWN Printed By: Lemley, Linda Page I of I PERMIT