2010, 12-09 Permit: 10006706 SewerSPOKANE COVKrY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 10720 E GERTRUDE DR
Parcel Number: 44042.2502
Subdivision: VALLEY VISTA EST
Block: Lot:
Zoning: UNK Unknown
Owner: FELDHAUSEN, TOM
Address: 10720 E GERTRUDE DR
SPOKANE VALLEY, WA 99206
Building Inspector: NONE
Nater Dist:
Project Number: 10006706 Inv: I Issue Date:
Permit Use: SEWER CONNECTION
12/9/2010
Applicant: H & R COMPLETE
PO BOX 749
NEWMAN LAKE, WA 99025 Phone: (509) 218-3336
Contact: H & R COMPLETE
PO BOX 749
NEWMAN LAKE, WA 99025 Phone: (509) 218-5336
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: H & R COMPLETE License#: HRCOMI*972DD
PROCESSING FEE
1 $15.00 SI SEWER CONNECTION 1 $12500
Total Permit Fee: $140 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.
**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. - " -
**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 THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST 13E 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.
Payment Summary
Total Fees AmountPnid AmountOwing
5140.00 5140.00 50.00
'Fran Date
12/9/2010
Receipt # Payment Amt
5462 5140.00
Notes / Conditions of Approval
POSSIBLE ERODIBLE SOILS ON SITE. EROSION AND SEDIMENT CONTROL MEASURES REQUIRED IF PRESENT
Processed By: CUMMINGS, KATHY
Printed 13y: Lemley, Linda
Page I of I
PERMIT