2011, 08-09 Permit: 11003905 SewerSPoKARE CoUMY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 11604 E FREDERICK AVE
I'arcel Number: 45091.0460
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: RUMSEY. JASON & TIFFANY
Address: 11604 E. FREDERICK AVE.
SPOKANE, \VA 99206
Building Inspector:
Water Dist:
Project Number: 11003905 Inv: 1 Issue Date: 8/9/2011
Permit Use: SEWER CONNECTION
Applicant: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, \VA 99016 Phone: (509) 924-5485
Setbacks -Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Server Connection Permit
Contractor: COURCI MINE CONSTRUCTION License #: COURCC*I81R7
SEWER CONNECTION I $125 00 PROCESSING FEE 1 $25 UU
Total Permit Fee: 5150 00
**FOR SEWER INSPECTIONS CALL TI IE 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 AA.- .t
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKINGDAYSIN ADVANCE SPOKANE COUNTY CODE
REQUIRES TFIE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES.
INCLUDING TI40SE RELATED FO 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 TIIE
IE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY. OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE'TTO BE CHECKED_PRIOR'1'0 CONNECTION TO ENSURE THAT THEY
ILAVE ACCEPTAI3LE GRADE AND ARE CLEAR AND UNOBSTRUCTED:SEWER LINES SHOULD BE CONSTRUCTED TO
ALLO\V I'OR GRAVITY FLO\V FROM THE 110\V'ES'T' LEVEL,OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST -BE I'RESEN'T AT THE JOB SITE AT THE SCI IEDULED 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
5150.00 5150 00 50 00
Tran Date Receipt # Payment Amt
8/9/2011 3433 5150.00
Processed By: SI IATTO, JULIE
Printed By: Force, Faith Page I of 1
PERMIT