2003, 09-09 Permit: 03006455 SewerAtit •
SroKARE Cowry
SPOKANE COUNTY DIVISION OF,BUILDING
AND CODE ENFORCEMENT.
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050.
Site Information
Project Information
Site Address: 4119 S HOLLOW CT
SPOKANE, WA 99206
Parcel Number: 45333.1009
Subdivision: FOREST MEADOW OIST ADD
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: CHASE, DENNIS
Address: 4119 S HOLLOW CT
SPOKANE, WA 99206
Building Inspector: F PALADICHUK
Water Dist:
Project Number: 03006455 Inv: ' 1 Issue Date: 9/9/2003
Permit Use: SEWER CONNECTION - SOUTH PONDEROSA
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 I
Sewer Connection Permit
Contractor: COURCBAINECONSTRUCTION License q: COURCC'1 RIR7
SEWER CONNECTION j 1 $85 00 PROCESSING FEE $15.00
1/.L t1 1 Total Permit Fee: $100.00
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 REQUII2ED.
Contractor or applicant is to field locate and confirm the elevation a� nd 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.
Sewer lines should be constructed to allow for gravity flow from;the lowest level of the structure.
This permit must be presented to the job site inspector for verification To locate;buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000
j '�
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE "CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKING'DAYS IN (ADVANCE, (509)456-8000.
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Spokane County Code requires the installer comply with all requirements of the Washington Slate Dept of Labor and Industries, including
those related to trench safety
‘", 7--1 f"`q ,'- 4'L. 1r -if -tit r
Payment Summary
1
Total Fees AmountPaid AmountOwing
$100.00 $100.00 50.00
Tran Date Receipt q Payment Amt
9/9/2003 5728 $100.00
Processed By: BURRIS, ROBIN
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
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