2010, 11-09 Permit: 10006194 SewerSPOKARE COUI'rY
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
2
Site Address: 1209 S EVERGREEN RD
Parcel Number: 45233.1922
Subdivision: VERA
Block:
Lot:
Zoning: UNK Unknown
Owner: COPPINS, MARILYN
Address: 20100 FAIRWEATHER ST
SANTA CLARITA, CA 91351
Building Inspector:
Water Dist:
Project Number: 10006194 Inv: 1 Issue Date: 11/9/2010
Permit Use: SEWER CONNECTION
Applicant: H & R COMPLETE
PO BOX 749
NEWMAN LAKE, WA 99025 Phone: (509) 218-8336
Contact: H & R COMPLETE
PO BOX 749
NEWMAN LAKE, WA 99025 Phone: (509) 218-8336
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: H & R COMPLETE
License#: HRCOMI*972DD
PROCESSING FEE
1 $15.00 SI SEWER CONNECTION I 5125.00
Total Permit Fee: $140.00
**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.
**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 \VA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY. „
**INSTALLER 1S 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-PRIORTO ANY OTHER'EXCAVATION:
**SEWER STUBS AND DRY SIDE SEWERS ARE TO BE'CHECK ED 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 LAN RCN 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing
$140.00 $140.00 $0.00
Tran Date Receipt # Payment Amt
11/9/2010 5065 $140.00
Processed By: CUMMINGS, KATHY
Printed By: Lcmley, Linda Page 1 of I
PERMIT