2012, 02-15 Permit: 12000480 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPOKANE COUNUY j
Site Information
Project Information
Site Address: 11404 E FREDERICK AVE
Parcel Number: 45092.1107
Subdivision: FAIRACRES REPLAT #02
Block: Lot:
Zoning:
Owner: FURGASON. STEVE
Address: 11404 E FREDERICK AVE
SPOKANE, WA 99206
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 12000480 Inv: 1 Issue Date: 2/15/2012
Permit Use: SEWER CONNECTION
Applicant FURGASON, STEVE
11404 E FREDERICK AVE
SPOKANE, WA 99206 Phone: (509) 928-7634
Contact: FURGASON, STEVE
11404 E FREDERICK AVE
SPOKANE, WA 99206 Phone: (509) 928-7634
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 $25 94
Total Permit Fee: 5150.94
**FOR SEWER INSPECTIONS CALL THE U'T'ILITIES DEPT AT (509) 477-3604 FROM 8-30-5 00 MONDAY -FRIDAY PRIOR TO
COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FORA 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**CALL 1-800-4245555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES 771E 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
13E 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 13E 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.
"TI -IE INSTALLER AND THIS PERMIT MUST 13E PRESENT AT THE JOB SITE AT TI -IE 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 $15094 $0.00
Tran Date Receipt # Payment Amt
2/15/2012
Processed By: SIIATTO, JULIE
Printed By: Force, Faith Page 1 of 1
442 $150.94
PERMIT