2011, 12-01 Permit: 11006199 Sewer\ SPOKANE COUNITY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 11710 E FREDERICK AVE
Parcel Number: 45091.0456
Subdivision: MIRABEAU RANCI I ADD
Block: 4 Lot: 1
Zoning:
Owner: KJELDGAARD, GREG A & WINDY S
Address: 11710 E. FREDERICK AVE.
SPOKANE VALLEY, WA 99206
Building Inspector:
Nater Dist:
Project Number: 11006199 Inv: 1 Issue Date: 12/1/2011
Permit Use: SEWER CONNECTION
Applicant: NORMS EXCAVATING INC
PO BOX 574
VERADALE, WA 99037 Phone: (509) 928-0580
Contact: NORMS EXCAVATING INC
PO BOX 574
VERADALE, WA 99037 Phone: (509) 928-0580
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: NORM'S EXCAVATING INC
License #: NORMSEI972BM
SEWER CONNECTION
1 $125 00 PROCESSING FEE 1 $25 00
Total Permit Fce: $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 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 BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLO\V FOR GRAVITY FLOW FROM TI IE LOWEST LEVEL OF THE STRUCTURE. r
**TI IE INSTALLER AND THIS PERMIT MUST BE PRESENT AT TI IE JOB SITEAT 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 AmountOwinp
$150.00 $15000
$0.00
Tran Date
12/1/2011
Processed By: SHATTO, JULIE
Printed By: Force, Faith Page 1 of I
Receipt #
5464
Payment Amt
$150.00
PERMIT