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2012, 03-13 Permit: 12000742 SewerSPoxAKP CouKrY Site Information SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Project Information Site Address: 2714 N FOX LN Parcel Number: 45091.2914 Subdivision: CITY OF SPOKANE VALLEY Block: 2 Lot: 14 Zoning: UNK Unknown Owner: DERKACHEV, LUCY & VITALI Address: 914 W LINCOLN RD SPOKANE, WA 99224 Building Inspector: Water Dist: Project Number: 12000742 Inv: 1 Issue Date: 3/13/2012 Permit Use: SEWER CONNECTION Applicant: A K CONSTRUCTION 3320 S MOLTER RD LIBERTY LAKE, WA 99019 Contact: A K CONSTRUCTION 3320 S MOLTER RD LIBERTY LAKE, WA 99019 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 370-5692 Phone: (509) 370-5692 Rear: Permits Sewer Connection Permit Contractor: A K CONSTRUCTION License #: AKCON**952J6 SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25.94 Total Permit Fee: $150.94 **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. **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 SEWERS ARE TO BE CHECKED 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. **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. Payment Summary Total Fees AmountPaid AmountOwing $150.94 $150.94 $0.00 Tran Date Receipt # Payment Amt 3/13/2012 693 $150.94 Processed By: CUMMINGS, KATHY Printed By: Force, Faith Page 1 of 1 PERMIT