2011, 12-01 Permit: 11006206 SewerSPoKANTCou'ry
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 11516 E FREDERICK AVE
Parcel Number: 45091.0462
Subdivision: MIRABEAU RANCI I ADD
Block: 4 Lot: 7
Zoning:
Owner: ROCKSTAD, ROGER G & PAMELA K
Address: 11516 E. FREDERICK AVE.
SPOKANE, WA 99206
Building Inspector:
Water Dist:
Project Number: 11006206 Inv:
Permit Use: SEWER CONNECTION
I Issue Date:
12/1/2011
Applicant: LARRY MILLER EXCAVATING
7117 E RUITER AVE
SPOKANE, WA 99212 Phone: (509) 218-3335
Contact: LARRY MILLER EXCAVATING
7117 E RUTTER AVE
SPOKANE, WA 99212 Phone: (509) 218-3335
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: LARRY MILLER EXCAVATING License #: LARRYME9I8DR
SEWER CONNECTION 1 SI 25.00 PROCESSING FEE
$25.00
Total Permit Fee: . $150.00
**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 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 TI10SI3 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,1'O FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR.TO ANY OTHER EXCAVATION.
**SEWER STUI3S 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 TIIE 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
$150.00 $150.00 $0.00
Tran Date Receipt # Payment Amt
12/1/2011
Processed By: SHA'ITO, JULIE
Printed By: Force, Faith Page 1 of I
5467 $15000
COPY