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2009, 09-02 Permit: 09004433 Sewerra; Z.I7 ISA; SPOKANE COUKEY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information 1 Site Address: 11522 E JACKSON AVE Parcel Number: 45091.2004 Subdivision: CITY OF SPOKANE VALLEY Block: Lot: Zoning: Owner: HUTCHENS, TYE K & JANICE M Address: 602 S WOODRUFF RD SPOKANE, WA 99206-3679 Building Inspector: Water Dist: Project Number: 09004433 Inv: I Issue Date: 9/2/2009 Permit Use: SEWER CONNECTION Applicant: HUTCHENS, TYE K & JANICE M 602 S WOODRUFF RD SPOKANE, WA 99206-3679 Phone: (509) 927-9094 Contact: HUTCHENS, TYE K & JANICE M 602 S WOODRUFF RD SPOKANE, WA 99206-3679 Phone: (509) 927-9094 Setbacks - Front: Group Name: Project Name: Left: Right: Rear: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER PROCESSING FEE 1 51500 SI SEWER CONNECTION I 512500 Total Permit Fee: SI40 00 **FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM S.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 $140.00 $140.00 $0.00 Tran Date Receipt # Payment Amt 9/2/2009 3724 $140.00 Processed By: DOM PIER, DAWN Printed By: HINTZ, FAITH Page I of I PERMIT