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2011, 09-07 Permit: 11004541 SewerSpoKARE Cowry SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 13321 E FIEROY AVE Parcel Number: 45031.4504 Subdivision: LESLYE ADD Block: Lot: Zoning: UR -3 Urban Residential 3.5 Owner: DAVIS, MICHAEL Address: 13321 E I IEROY AVE SPOKANE, WA 99216 Building Inspector: JOHN LARSON Water Dist: Project Number: 11004541 Inv: 1 Issue Date: 9/7/2011 Permit Use: SEWER CONNECTION Applicant: SWAN'S GROUNDWORK 14415 N FORKER RD SPOKANE, WA 99217 Contact: SWAN'S GROUNDWORK 14415 N FORKER RI) SPOKANE, WA 99217 Phone: (509) 465-4757 Phone: (509) 465-4757 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Server Connection Permit Contractor: SWAN'S GROUND WORK License#: SWANSGW9511:1' SEWEI2 CONNECTION 1 $125 00 PROCESSING FEE $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 ALLO\VS FOR A 30 -MINUTE INSPECTION. ADDI'T'IONAL INSI'ECTION 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 WITI I ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES. INCLUDING THOSE RELATED TO TRENCII 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 Tun' HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED SEWER LINES SHOULD BE CONSTRUCTED TO ALLO\V 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 $150.00 5150.00 50.00 Tran Date Receipt # Payment Amt 9/7/2011 3984 $150.00 Processed By: SIIALT°. JULIE Printed By: Force, Faith Page 1 of I PERMIT