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2011, 06-13 Permit: 11002677 SewerSPOKANE COMFY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 13712 E HEROY AVE Parcel Number: 45031.0714 Subdivision: CITY OF SPOKANE VALLEY Block: Lot: Zoning: UR -3 Urhun Residential 3 5 Owner: CAMPBELL, NORMAN A & TERESA 1 Address: 13712 E IIEROY AVE SPOKANE, \VA 99216-2224 Building Inspector: JOHN LARSON Water Dist: Project Number: 11002677 Inv: I Issue Date: 6/13/2011 Permit Use: SEWER CONNECTION Applicant: LOSS EXCAVATION LLC 603 N FELTS RD SPOKANE VALLEY, WA 99206 Phone: (509) 863-2785 Contact: LOSS EXCAVATION LLC 603 N FELTS RD SPOKANE VALLEY, \VA 99206 Phone: (509) 863-2785 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: LOSS EXCAVATION LLC License #: LOSSEEL903OS SEWER CONNECTION I 8125.00 PROCESSING FEE - 1 S25 00 Total Permit Fee: S 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 ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. **INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SE\VER 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 CI IECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEVER LINES SHOULD BE CONSTRUCTED TO ALLO\V FOR GRAVITY FLOW FROM THE LO\VEST 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. - **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. Payment Summary Total Fees AmountPa id AmountOwi ng 8150.00 8150 00 S0.00 Trnn Date 6/13/2011 Receipt # Payment Amt 2335 5150.00 Notes / Conditions of Approval FIRE DISTRICT /I1 - PLAN REVIEW FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY FD #I. Processed By: DOMPIER, DAWN Printed By: Lemley, Linda Page 1 of 1 PERMIT