2009, 09-03 Permit: 09004434 SewerSPOKANE Country
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 9321 E HOLMAN RD
Parcel Number: 44052.0506
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: LDR Low Density Residential
Owner: KOSMICKI,MICHAEL & TINA
Address: 9321 E HOLMAN
SPOKANE, WA 99206
Building Inspector: None
Water Dist:
Project Number: 09004434 Inv:
Permit Use: SEWER CONNECTION
Applicant: H & S CONSTRUCTION
11817 E VALLEYWAY AVE
SPOKANE, WA 99206
Contact: H & S CONSTRUCTION
11817 E VALLEYWAY AVE
SPOKANE, WA 99206
1 Issue Date: 9/3/2009
Phone: (509) 926-8964
Phone: (509) 926-8964
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: H & S CONSTRUCTION
License #: HSCON**123KF
SEWER CONNECTION
585.00 PROCESSING FEE
515.00
Total Permit Fee: 5100 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.
**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.
**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 ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE
AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW 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
$100.00 $100 00
$0.00
Tran Date Receipt # Payment Amt
9/3/2009 3732 $10000
Processed By: DOMPIER, DAWN
Printed By: HINTZ, FAITH Page 1 of I
PERMIT