2011, 09-21 Permit: 11004796 Sewer\ SPOKAN€ Cowry
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 7116 E FAIRVIEW AVE
Parcel Number: 35121 2408
Subdivision: ORCHARD AVE ADD TR 1-228
Block: Lot:
Zoning: AGS
Owner: PALM, RONALD D
Address: 6220 BOTTLE BAY RD
Saele, ID 83860-9021
Building Inspector: NONE
Water Dist:
Project Number: 11004796 Inv: 1 Issue Date: 9/21/2011
Permit Use: SEWER CONNECTION
Applicant: PALM, RONALD D
6220 BOTTLE BAY RI)
Sagle, ID 83860-9021
Contact: PALM, RONALD D
6220 BOTTLE BAY RD
Sagle, ID 83860-9021
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Phone: (509) 922-4516
Phone: (5091922-4516
Rear:
Permits
Sewer Connection Permit
Contractor: NORTHWEST EXCAVATING License #: NORTI1EL935BR
SEWER CONNECTION 1 $125 00 PROCESSING FEE 1 $25 00
Total Permit Fee: $150 00
**FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT'AT (509) 477-3604 FROM 830-5:00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES F
**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 WA 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 SEWERSARE TO;BECHECKED 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.
**TI IE INSTALLER AND THIS PERDIIT MUSTBE PRESENTATTHEJOB SITE.AT THE SCIIEDULED INSPECTION TIME.
BOTII 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 $15000 $000
Tran Date
9/21/2011
Processed By: DOMPIER, DAWN
Printed By: Lemley, Linda Page 1 of 1
Receipt # Payment Amt
4205 $150 00
PERMIT