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2011, 04-05 Permit: 11001212 SewerSPoKANE Cour tiY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 11510 E FREDERICK AVE Parcel Number: 45091.0463 Subdivision: MIRABEAU RANCH ADD Block: Lot: Zoning: UR -3 Urban Residential 3.5 Owner: MILLS, MICHAEL Address: 11510 E FREDERICK AVE SPOKANE, WA 99205 Building Inspector: JOHN LARSON Water Dist: Project Number: 11001212 Inv: I Issue Date: 4/5/2011 Permit Use: SEWER CONNECTION Applicant: CONNER EXCAVATING 1809 E HOUSTON SPOKANE, WA 99217 Phone: (509) 483-1123 Contact: CONNER EXCAVATING 1809 E HOUSTON SPOKANE, WA 99217 Phone: (509) 483-1123 Setbacks - Front: Left: Right: Group Name: Project Name: Rear: Permits Sewer Connection Permit Contractor: CONNER EXCAVATING License #: WCCONE*277JR SEWER CONNECTION 1 $125 00 PROCESSING FEE 1 525 00 Total Permit Fee: 5150 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 **CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST2 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 SEWERSTUB PRIOR TO ANY OTHER EXCAVATION. **SEWER STUBS AND DRY SIDE SE\VERS 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 THELOWEST-LEVEL OF THE STRUCTURE. - c **TI IE 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 $150.00 515000 50.00 Tran Date Receipt tt Payment Amt 4/5/2011 1084 Processed I3y: DOMPIER, DA\VN Printed By: Force, Faith Page 1 of 1 515000 PERMIT