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2004, 05-03 Permit: 04002800 Sewert SPOKAXECOUVY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 715 S FLORA LN VERADALE, WA 99037 Parcel Number: 45241.1901 Subdivision: Block: Lot: Zoning: UNK Unknown Owner: GOOD SAMARITAN Address: 17121 E 8TH AVE GREENACRES, WA 99016-8556 Building Inspector: BOBBY STONE Water Dist: Project Number: 04002800 Inv: 1 Issue Date: 5/3/2004 Permit Use: SEWER CONNECTION Applicant: J S KIRKLAND CO 4005 S BEST CT VERADALE WA 99037 Contact: J S KIRKLAND CO 4005 S BEST CT VERADALE WA 99037 Setbacks - Front: Group Name: Project Name: Left: Right: Phone: (509) 801-82 1 I Phone: (509) 891-8211 Rear: Permits Server Connection Permit Contractor: J S KIRKLAND CO License #: JSKIRC*029.17 SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 515.00 Total Permit Fee: S) 00.00 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 pennit 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 TIE "CALL BEFORE YOU 1)IG" CI;N I l:R lir 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 Libor and Industries, including those related to trench safety. Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date Receipt # Pavment Amt 5/3/2004 2221 $100.00 Processed By: FORRY, .TEFF Printed By: WENDEL, GLORIA Page 1 of 1 PERMIT