2011, 08-02 Permit: 11003724 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 12103 L FREDERICK AVE
Parcel Number: 45091.0102
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: KORN, J P
Address: 12103 E FREDERICK AVE
SPOKANE, WA 99206-4626
Building Inspector:
\Vater Dist:
Project Number: 11003724 Inv:
Permit Use: SEWER CONNECTION
Applicant: H K S CONSTRUCTION
11817 E VALLEYWAY AVE
SPOKANE, WA 99206
Contact: 11 & S CONSTRUCTION
11817 E VALLEYWAY AVE
SPOKANE, WA 99206
I Issue Date:
Setbacks - Front: Left: Right:
Group Name:
Project Name:
8/2/201 I
Phone: (509) 926-8964
Phone: (509) 926-8964
Rear:
Permits
Sewer Connection Peril
Contractor: H & S CONSTRUCTION License 11: 1 ISCON" I23KF
SEWER CONNECTION 1 $125 00 PROCESSING FEE 1 $25 00
Total Permit Fee: $15000
"TOR SE\VER 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 T1113 INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE \VA STATE DEPT or. LABOR & INDUSTRIES.
INCLUDING THOSE RELATED TO TRENCH SAFETY.
"INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS 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 TI -IAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SE\VER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**'TI IE INSTALLER ANI) THIS PERMIT MUST 13E PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME.
I30TI I 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 50.00
Tran Date Receipt 14 Payment Amt
8/2/201 I
Processed By: DOMPIER, DAWN
Printed By: Force, Faith Page I of 1
3287 $150.00
PERMIT