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2004, 08-27 Permit: 04006304 Sewer8.8 Atli,Idt SPOMNE COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 422 S EVERGREEN RD Parcel Number: 45221.9077 Subdivision: RANGE Block: Lot: Zoning: AGR Owner: MC DOUGALL, JACK Address: 422 S EVERGREEN RD SPOKANE, WA 99216 Building Inspector: BOBBY STONE Water Dist: Project Number: 04006304 Inv: 1 Issue Date: Permit Use: SEWER CONNECTION - VERA TERRACE Applicant: H & S CONSTRUCTION 11817 E. VALLEYWAY AVE SPOKANE WA 99206 Contact: H & S CONSTRUCTION 11817 E. VALLEYWAY AVE SPOKANE WA 99206 Setbacks - Front: Group Name: Project Name: Left: Right: 8/27/2004 Phone: (509) 926-8964 Phone: (509) 926-8964 Rear: Permits Sewer Connection Permit Contractor: H & S CONSTRUCTION License #: HSCON**123KF SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant is to field locate and confirm the elevation and position of sewer stub prior to any other excavation. Sewer stubs are to be checked prior to connection to ensure that they have acceptable grade and are clear and unobstructed to the main sewer. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables, gas piping, water lines, etc. CALL BEFORE YOU DIG, (509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE, (509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date Receipt # Payment Amt 8/27/2004 4942 $100.00 Processed By: SHATTO, JULIE Printed By: WENDEL, GLORIA Page 1 of 1 PERMIT