2011, 09-08 Permit: 11004573 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
SPUME CouKry
Site Information
Project Information
Site Address: 14905 E ILEROY LN
Parcel Number: 45022.0202
Subdivision: CITY OF SPOKANE VALLEY
Block: - Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: NGUYEN
Address: 14905 E. FIEROY LN.
SPOKANE, WA 99216
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 11004573 Inv: I Issue Date: 9/8/2011
Permit Use: SEWER CONNECTION
Applicant: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: COURCI IAINE CONSTRUCTION
License#: COURCC*181R7
SEWER CONNECTION 1 $125 00 PROCESSING FEE 1 $25 00
Total Permit Fee: $150 00
**FOR SEWER INSPECTIONS CALL '1'I IE uTILTTIES 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 WORKINGDAYSIN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES.
INCLUDING THOSE RELATED To TRENCI I SAFETY. -
**INSTALLER IS RESPONSIBLE TO INSURE ALL WAS'T'EWATER 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 'ID 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 TI IE LOWEST LEVEL OF THE.STRUCTURE.
**THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT TUE SCHEDULED INSPECTION TIME.
BOTII 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
5150.00 5150 00 50.00
Tran Date Receipt # Payment Amt
9/8/2011 4007 5150.00
Processed By: 5I IAT'I'O. JULIE
Printed By: Force, Faith Page 1 of I
PERMIT