2011, 09-22 Permit: 11004843 SewerSeoxw CbUKIY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 11913 E FREDERICK AVE
Parcel Number: 45091.0109
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: BRAUCI ff. SANDRA K
Address: 11913 E. FREDERICK AVE.
SPOKANE, WA 99206
Building Inspector:
Water Dist:
Project Number: 11004843 Inv:
Permit Use: SEWER CONNECTION
1 Issue Date: 9/22/2011
Applicant: LARRY MILLER EXCAVATING
7117 E RUTfER AVE
SPOKANE, WA 99212
Contact: LARRY MILLER EXCAVATING
7117 E RU'ITER AVE
SPOKANE, WA 99212
Setbacks - Front:
Group Name:
Project Name:
Phone: (509) 218-3335
Phone: (509) 218-3335
Left: Right: Rear:
Permits
Sewer Connection Permit
Contractor: LARRY MILLER EXCAVATING License #: LARRYNIE918DR
SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25 00
Total Permit Fee: $150 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. i!•.
it
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES 111E INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFLTY _
**INSTALLER IS RESPONSIBLE TO INSURE ALL,WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION' INSTALLER IS TOEFIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY:OTI-IER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS'ARE TO 13E.CHECI:ED-PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED SEWER LINES SI IOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE -STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST'BE PRESEN"F AT TILE JOSSITE'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
9/22/2011
Processed By: SIIATTO. JULIE
Printed By: Force, Faith Page 1 of 1
4234 $150.00
PERMIT