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2003, 03-17 Permit: 03001687 SewerSPO ANg COUNTY SPOKANE COUNTY DIVISION OF BUILDING AND CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 4014 S FOREST MEADOWS DR SPOKANE, WA 99206 Parcel Number: 45333.0201 Subdivision: FOREST MEADOW ADD Block: Lot: Zoning: UR -3 Urban Residential 3.5 Owner: DOCK, BUTCH Address: 4014 S FOREST MEADOWS DR SPOKANE, WA 99206 Building Inspector: DAN HOWARD Water Dist: Project Number: 03001687 Inv: 1 Issue Date: 3/17/2003 Permit Use: SEWER CONNECTION - SOUTH PONDEROSA Applicant: COURCHAINE CONSTRUCTION 19818 E SPRAGUE GREENACRES, WA 99016 Contact: COURCHAINE CONSTRUCTION 19818 E SPRAGUE GREENACRES, WA 99016 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 924-5485 Phone: (509) 924-5485 Rear: Permits Right of Way Contractor: UNKNOWN License #: UNKNOWN CONST IN ROW -SEWER FOR RIGHT OF WAY INSPECTIONS CALL (509) 477-3600 ENGINEERING 1 $10.00 Total Permit Fee: $10.00 Sewer Connection Permit Contractor: COURCHAINE CONSTRUCTION License #: COURCC*181R7 SEWER CONNECTION 1 $85.00 PROCESSING FEE Total Perinit Fee: FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY S15.00 $100.00 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 eables, 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. Payment Summary Total Fees AmountPaid AmountOwing $110.00 $110.00 $0.00 Tran Date Receipt # Payment Amt 3/17/2003 1594 8110.00 Processed By: FRAZIER, CAROL Printed By: WENDEL, GLORIA Page 1 of 1 PERMIT FILE