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2011, 04-28 Permit: 11001688 SewerSPoKANT Couxnr SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 1322 S EVERGREEN RD Parcel Number: 45224 1880 Subdivision: VERA Block: Lot: Zoning: UNK Unknown Owner: DARCY, DONALD Address: 1322 S EVERGREEN RD VERADALE,\VA 99037 Building Inspector: None Water Dist: Project Number: 11001688 Inv: I Issue Date: 4/28/2011 Permit Use: SEWER CONNECTION Applicant: NORMS EXCAVATING INC PO BOX 574 VERADALE, WA 99037 Contact: NORMS EXCAVATING INC PO BOX 574 VERADALE, WA 99037 Setbacks - Front: Group Name: I'roject Name: Phone: (509) 928-0580 Phone: (509) 928-0580 Left: Right: Rear: Permits Server Connection Permit Contractor: NORNI'S EXCAVATING INC License#: NORMSEI972BN1 SEWER CONNECTION 1 5125.00 PROCESSING FEE 1 525.00 Total Permit Fee: S 150 00 **FOR SE\VER 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 F12ONI THE LO\VEST LEVEL OF THE STRUCTURE **TFIE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LA\V RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. -- **CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST2 WORKING DAYS INADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMPLY \VITH ALL REQUIREMENTS OF THE \VA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. Payment Summary Total Fees Amount Paid AnmuntOwing $15000 $15000 $0.00 Tran Date 4/28/2011 Processed By: CUMMINGS, KATHY Printed By: Force, Faith Page 1 of 1 Receipt N Payment Amt 1507 $150.00 PERMIT