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2011, 10-17 Permit: 11005380 SewerSPOKANE COUMY Site Information SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Project Information Site Address: 1301 S EVERGREEN RD Parcel Number: 45233.1907 Subdivision: VERA Block: Lot: Zoning: UNK Owner: WIGEN, SANDY Address: 1301 S EVERGREEN RD VERADALE, WA 99037 Building Inspector: None Water Dist: Project Number: 11005380 Inv: I Issue Date: 10/17/2011 Permit Use: SEWER CONNECTION Applicant: 1 L IIAWKINS EXCAVATING 9722 E NORA SPOKANE, WA 99206 Contact: J 1. IIAWKINS EXCAVATING 9722 E NORA SPOKANE, WA 99206 Setbacks - Front: Group Name: Project Name: Phone: (509) 924-9025 Phone: (509) 924-9025 Left: Right: Rear: Permits Sewer Connection Permit Contractor: .1 L IIAWKINS EXCAVA'T'ING License#: JLHAWE*222LE SEWER CONNECTION 1 $125 00 PROCESSING FEE $25 00 Total Permit Fee: $150.00 **FOR SEWER INSPECTIONS CALL THE U'T'ILITIES 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 I3EFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMPLY WITH ALI, REQUIREMENTS OF THE \VA 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`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 ANI) THIS PERMIT MUST 13E PRESENT Al' 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 FACILI'T'IES Payment Summary Total Fees AinountPaid AmountOwing $150.00 $150.00 $0 00 Tran Date Receipt # 10/17/2011 Processed By: SHATTO. JULIE Printed By: Force. Faith Page I of I 4721 Payment Amt $150.00 PERMIT