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2011, 07-18 Permit: 11003402 SewerSPOKANr COuwy SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 2504 N ELIZAI3ETH RD Parcel Number: 35121.5702 Subdivision: ORCHARD AVE ADD SUB BLK 165 Block: Lot: Zoning: UNK Unknown Owner: MEAGLEY, BUDDY Address: 2504 N ELIZAI3ETH RD SPOKANE, WA 99212 Building Inspector: NONE Water Dist: Project Number: 11003402 Inv: I Issue Date: 7/18/2011 Permit Use: SERER CONNECTION Applicant: MEAGLEY, BUDDY 2504 N ELIZABETH RI) SPOKANE, WA 99212 Phone: (509) 928-4995 Contact: MEAGLEY. BUDDY 2504 N ELIZABETH RD SPOKANE, WA 99212 Phone: (509) 928-4995 Setbacks - Front: Left: Right: Group Name: Project Name: Rear: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION I $125.00 PROCESSING FEE I S25 00 { Total Permit Fcc: $150 00 **FOR SEWER INSPECTIONS CALL THE UTILITIES DPT AT (509) 477-3604 FROM 8:30-5.00 MONDAY -FRIDAY I'RIOR 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 WITIi AL'L 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 SE\VER 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 TI IAT TI IEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF TIIESTRUCTURE **TI IE INSTALLER AND TT IIS PERMIT MUST, BE PRESENT AT THE JOB S.1113,,\ -r 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 7/18/2011 Processed By: CUMMINGS, KATI IY Printed By: Lemley, Linda Page 1 of 1 Receipt # Payment Ana 2958 $150 00 PERMIT