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2007, 10-02 Permit: 07006722 SewerSPOKE COUKnr SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 4036 S FOREST MEADOWS DR Parcel Number: 45333.0203 Subdivision: RANGE Block: Lot: Zoning: Owner: BUSSE, TIMOTHY W & SAMANTHA R Address: 4036 S FOREST MEADOW DR SPOKANE VALLEY, WA 99206 Building Inspector: Water Dist: Project Number: 07006722 Inv: 1 Issue Date: 10/2/2007 Permit Use: SEWER CONNECTION - S. PONDEROSA Applicant: NORMS EXCAVTING INC PO BOX 574 VERADALE, WA 99037 Contact: NORMS EXCAVTING INC PO BOX 574 VERADALE, WA 99037 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 928-0580 Phone: (509) 928-0580 Rear: 1 Permits Sewer Connection Permit Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. THE 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 ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. 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. Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date Receipt # Payment Amt 10/2/2007 5760 $100.00 Processed By: Hargrove, Heidi Printed By: HINTZ, FAITH Page 1 of 1 PERMIT