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2007, 11-26 Permit: 07008052 SewerSPoxAKP CouKY Site Information SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Project Information Site Address: 2223 N GIRARD RD Parcel Number: 35124.2804 Subdivision: MOORES SUB Block: 2 Lot: 4 Zoning: AGS Owner: ROBERTSON, RONALD & GWEN Address: 2223 N GIRARD RD SPOKANE, WA 99212 Building Inspector: NONE Water Dist: Project Number: 07008052 Inv: 1 Issue Date: 11/26/2007 Permit Use: SEWER CONNECTION - MOORES SUB Applicant: SCHELLENBERG EARTHWORKS PO BOX 3271 SPOKANE, WA 99220 Phone: (509) 993-3694 Contact: SCHELLENBERG EARTHWORKS PO BOX 3271 SPOKANE, WA 99220 Phone: (509) 993-3694 Setbacks - Front: Group Name: Project Name: Left: Right: Rear: Permits Sewer Connection Permit Contractor: SCHELLENBERG EARTHWORKS License #: SCHELE*973D4 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 AmountOwinz $100.00 $100.00 $0.00 Tran Date Receipt # Payment Amt 11/26/2007 6829 $100.00 Processed By: CUMMINGS, KATHY Printed By: HINTZ, FAITH Page 1 of 1 PERMIT