2011, 11-01 Permit: 11005692 SewerSroiw' £ CoUM-Y
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 12024 E FREDERICK AVE
Parcel Number: 45091.0230
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: SHULKIN, ELMER R
Address: 12024 E FREDERICK AVE
SPOKANE, WA 99206
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 11005692 Inv: 1 Issue Date:
Permit Use: SEWER CONNECTION
Applicant: BIG A EXCAVATING
8215 E. NORA AVE.
SPOKANE, WA 99212
Contact: BIG A EXCAVATING
8215 E. NORA AVE.
SPOKANE, WA 99212
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
11/1/2011
Phone: (509) 999-3905
Phone: (509) 999-3905
Rear:
Permits
Sewer Connection Permit
Contractor: BIG A EXCAVATING LLC License tt: BIGEXEL894K5
SEWER CONNECTION
1 $125 00 PROCESSING FEE 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. - c
**INSTALLER 1S RESPONSIBLE TO INSURE ALL WASTEWATER BRAINS ARE CONNECTED TO THE 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 BE CHECKED PRIOR -TO CONNECTION TO ENSURE THAT TREY
HAVE ACCEPTABLE GRADE AND ARE CLEARAND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LOWEST LE V EL. OF,THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE, 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 OF THE WA -STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees AmountPaid AmountOwing
$150.00 $150.00 $0.00
Tran Date Receipt N Payment Amt
11/1/2011
Processed By: DOMPIER, DAWN
Printed By: Force, Faith Page 1 of 1
5022 $150.00
PERMIT