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2011, 09-16 Permit: 11004720 SewerSPOKANT COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 11824E FREDERICK AVE Parcel Number: 45091.0305 Subdivision: MIRAI3EAU RANCH ADD Block: Lot: Zoning: AGS Owner: KOONTZ Address: 11824 E FREDERICK AVE SPOKANE, WA 99206 Building Inspector: JOHN LARSON Water Dist: Project Number: 11004720 Inv: 1 Issue Date: Permit Use: SEWER CONNECTION Applicant: NORMS EXCAVATING INC PO BOX 574 VERADALE, WA 99037 Contact: NORMS EXCAVATING INC PO BOX 574 VERADALE, WA 99037 Setbacks - Front: Group Name: Project Name: Left: Right: 9/16/2011 Phone: (509) 928-0580 Phone: (509) 928-0580 Rear: Permits Server Connection Permit Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM SEWER CONNECTION I $125.00 PROCESSING FEES 1 $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. • **INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO Ti II: SEWER AND MAY BE 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 I3E CHECKED PRIOR To CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAI2:AND UNOBSTRUCTED. SEWER•LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. **THF INSTALLER AND THIS PERMIT MUST 13E 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. **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 OP THE WA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. Payment Summary Total Fees AmountPnid AmountOwing $15000 $150.00 $0.00 Tran Date 9/16/2011 Processed By: SHATTO, JULIE Printed By: Force, Faith Page 1 of I Receipt # 4131 Payment Amt $150.00 PERMIT