2005, 10-17 Permit: 05007863 SewerSPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
J
1
Site Information
Project Information
Site Address: 15715 E HEROY AVE
Parcel Number: 45012.1114
Subdivision: PRE APP (FEES)
Block: Lot:
Zoning: UR 3
Owner: WALSH, MICHAEL A & DEBORAH F
Address: 15715 E HEROY AVE
SPOKANE, WA 99216-1507
Building Inspector: JOHN LARSON
Water Dist: UNKNOWN
Project Number: 05007863 Inv: 1 Issue Date: 10/17/2005
Permit Use: SEWER CONNECT, WELLESLEY MANOR
Applicant: WALSH, MICHAEL A & DEBORAH F
15715 E HEROY AVE
SPOKANE, WA 99216-1507 Phone: (509)926-7419
Contact: WALSH, MICHAEL A & DEBORAH F
15715 EHEROY AVE
SPOKANE, WA 99216-1507 Phone: (509) 926-7419
Setbacks - Front:
Group Name:
Project Name:
Left: Right: Rear:
1
Permits i
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION
I $85 00 PROCESSING FEE 1 $1500
Total Permit Fee:
r1
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection prior to cover. ONE WORKING DAY -NOTICE REQUIRED.
L r
Contractor or applicant is to field locate and confirm the elevatio+,n and position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensure that ttiey have'aceepthble grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity fldv from the lowest level of the structure.
fo
This permit must be presented to the job site inspector f v�enfication.,.To Iocate buried cables, gas piping, water lines, etc
CALL BEFORE YOU DIG, (509)456-8000. (.' n^- 'iita'j leer'1.; jl
STATE LAW RCW 19.122 REQUIRES THAT:PRIOR' TO.ANY EXCAVATION^THECALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT-LEAST,2' W,ORKING1DAYS IN ADVANCE; (509)456-8000.
Spokane County Code requires the installer comply withlall requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
5100.00
rfX
y� Payment Sy mmary (t U I �1 \U Y
Total Fees AmountPaid AmountOwing
S 100.00 5100.00 50.00
— - -a.
Tran Date Receipt # Payment Amt
10/17/2005 6483 5100.00
Notes / Conditions of Approval
OWNER MUST CONSULT WITH COUNTY INSPECTOR ON SITE PRIOR TO CONSTRUCTION
Processed By: Hansen, Tom
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT