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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