2011, 08-10 Permit: 11003930 SewerSite Information
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Project Information
Site Address: 10103 E HOLMAN RI)
Parcel Number: 44051.0903
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: UNK
Owner: ADAMS, JOSI2PI1 M
Address: 10103 E HOLMAN RI)
SPOKANE, WA 99206
Building Inspector: MARK WALKER
Water Dist:
Project Number: 11003930 Inv:
Permit Use: SEWER CONNECTION
1 Issue Date:
Applicant: TILTON CONSTRUCTION
PO 130X 429
OTIS ORCHARDS, WA 99027
Contact: TILTON CONSTRUCTION
PO BOX 429
OTIS ORCIIARDS, WA 99027
Setbacks- Front:
Group Name:
Project Name:
8/10/2011
Phone: (509) 928-2640
Phone: (5091928-2640
Left: Right: Rear:
Permits
Sewer Connection Permit
Contractor: TILTON EXCAVATION LLC
License ft: TILTOEL93713'I'
SEWER CONNECTION I $125 00 PROCESSING FEE 1 $25 00
Total Permit Fee: $150 00
**FOR SEWER INSPECTIONS CALI. 'ITIE 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.
**INS'T'ALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
13E REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SE\VER STUB PRIOR TO ANY OTHER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR -AND UN013STRUCI'ED. SEWER LINES SHOULD 13E CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LO\\'EST LEVEL OE THE S'T'RUCTURE"
**THE' INSTALLER AND THIS PERMIT MUST BE PRESENT Al' TTTE JOB SITE -AT -TI IE SCHEDULED INSPECTION TIME.
BOTI I STATE LAW RC\V 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 REQUIREMENT'S OF THE WA -STATE DEPT OF LABOR & INDUSTRIES. •
INCLUDING THOSE RELA'T'ED TO TRENCH SAFETY.
Payment Summary
Total Fees Amountl'aid AmountOwing
$150.00 $150.00
$0.00
Tran Date
8/10/2011
Processed By: SITATTO. JULIE
Printed By: Force, Faith Page I of I
Receipt fl Payment Amt
3455 $150.00
PERMIT