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2011, 03-08 Permit: 11000706 SewerSPoMNl Cowry SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 12011 E FREDERICK AVE Parcel Number: 4509L0105 Subdivision: MIRABEAU RANCH ADD Block: Lot: Zoning: UR 3 Owner: MARTIN, LAWRENCE & KATHERINE Address: 12011 E FREDERICK AVE SPOKANE, WA 99206-4626 Building Inspector: JOHN LARSON Water Dist: Sewer Connection Permit Project Number: 11000706 Inv: I Issue Date: 3/8/2011 Permit Use: SEWER CONNECTION Applicant: GOBER SON & SON 1 1215E TRENT AVE SPOKANE, WA 99206 Phone: (509) 924-5372 Contact: GOBER SON & SON 1 1215E TRENT AVE SPOKANE, WA 99206 Phone: (509) 924-5372 Setbacks - Front: Left: Right: Rear: Permits Contractor: GOBER & SON SON Group Name: Project Name: License #: GOBERSS034B7 SEWER CONNECTION I 5125.00 PROCESSING FEE 1 52500 Total Permit Fee: 5150 00 i **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 ALLO\VS 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 \VA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. _ -5 • **INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE'CONNECTED TO THE SEWER AND MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER 1$ TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER -STUB PRIOR -TO ANY OTHER EXCAVATION. **SEWER STUBS AND DRY SIDE SE\VERS 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 THE,LOWEST LEVEL OF TFIE STRUCTURE **THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE FOB SITE AT.THE SCHEDULED INSPECTION TIME. B0TH 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 $15000 $0.00 Tran Date Receipt # Payment Amt 3/8/2011 Processed By: DOMPIER, DA\VN Printed By: Force, Faith Page I of I 689 $150 00 PERMIT