2012, 03-05 Permit: 132000638 Seweri
SPOKANE COUNTY
1p,Rc4 DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
L� SPOKANE COUNTY
Site Information
Project Information
Site Address: 8118 E FREDERICK AVE
Parcel Number: 45072.2608
Subdivision: ORCHARD AVE ADI) REPLAT B 151,15
Block: 236 Lot:
Zoning: UNK Unknown
Owner: POTTS, JAMES N JR
Address: 20119 E 8TH AVE
GREENACRES, WA 99016
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 12000638 Inv: I Issue Date: 3/5/2012
Permit Use: SEWER CONNECTION
Applicant: POT FS, JAMES N JR
20119 E 8TH AVE
GREENACRES, WA 99016 Phone: (509) 738-7323
Contact: POTTS, JAMES N JR
20119 E 8TH AVE
GREENACRES, WA 99016 Phone: (509) 738-7323
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION 1 5125.00 PROCESSING FEE 1 525 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 WAS'T'EWATER DRAINS ARE CONNECTED TO THE SEWER ANI) 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.
"'HIE 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
Tran Date Receipt # Payment Amt
$150.94 $150 94 $0.00 3/5/2012 601 $150.94
Processed By: CUMMINGS, KATHY
Printed By: Force, Faith Page 1 of 1
PERMIT