2010, 03-29 Permit: 10001265 SewerSPOKN COUNTY
Site Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 1315 S HAZEL ST
Parcel Number: 35243.0602
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: AGS
Owner: M T MANAGEMENT
Address: PO BOX 69
VERADALE, WA 99037
Building Inspector: NONE
Water Dist:
Project Number: 10001265 Inv:
Permit Use: SEWER CONNECTION
Applicant: H & R COMPLETE
PO BOX 749
NEWMAN LAKE, WA 99025
Contact: H & R COMPLETE
PO BOX 749
NEWMAN LAKE, WA 99025
1 Issue Date: 3/29/2010
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 218-8336
Phone: (509) 218-8336
Rear:
Permits
Sewer Connection Permit
Contractor: H & R COMPLETE License #: HRCOMI*972DD
PROCESSING FEE 1 $15.00 SI SEWER CONNECTION
Total Permit Fee:
1 $125.00
$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 ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEL 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.
Payment Summary
Total Fees AmountPaid AmountOwing
$140.00 $140.00 $0.00
Tran Date
3/29/2010
Processed By: SHATTO, JULIE
Printed By: Force, Faith Page 1 of 1
Receipt # Payment Amt
1053 $140.00
PERMIT