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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