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2004, 05-27 Permit: 04003677 SewerI�I � moo SromNE COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Site Address: 817 N FELTS RD SPOKANE, WA 00000 Parcel Number: 45171 1222 Subdivision: Block: Lot: B Zoning: UNK Unknown Owner: SEVERSON, ALVIN A Address: 10209 E BROADWAY AVE SPOKANE, WA 99206 Building Inspector: BOBBY STONE Water Dist: UNKNOWN Project Information Project Number: 04003677 Inv: 1 Issue Date: 5/27/2004 Permit Use: SEWER CONNECTION Applicant: SEVERSON, ALVIN A 10209 E BROADWAY AVE SPOKANE, WA 99206 Contact: SEVERSON, ALVIN A 10209 E BROADWAY AVE SPOKANE, WA 99206 Phone: (509) 999-6080 Phone: (509) 999-6080 Setbacks - Front: Left: Right Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION 1 SX5.00 PROCESSING FEE 1 S15.00 'Total Permit Fee: S100.00 \ FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30,5:00 PM MONDAY THRU FRIDAY I+ Call for inspection pnor 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 stntcture. 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 'P.ayment Summary Total Fees AmountPaid AmountOwing $100.00 510000 $0.00 Tran Date Receipt # Payment Amt 5/27/2004 2806 $100 00 Processed By: FORRY, JEFF Printed By: WENDEL, GLORIA Page 1 of 1 PERMIT