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2009, 05-01 Permit: 09001762 SewerSPol Cowry SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 11510 E JACKSON RD Parcel Number: 45091.2002 Subdivision: MHP- FAIRACRES TRAILER MHP Block: Lot: Zoning: UNK Owner: ALLEN, KATHRYN Address: 11510 E JACKSON RD SPOKANE, WA 99206 Building Inspector: JOHN LARSON Water Dist: IRVIN Project Number: 09001762 Inv: 1 Issue Date: 5/1/2009 Permit Use: SEWER CONNECTION - PINECROFT/MANSFIELD Applicant: ALLEN, KATHRYN 11510 E JACKSON RD SPOKANE, WA 99206 Phone: (509) 924-0784 Contact: ALLEN, KATHRYN 11510 E JACKSON RD SPOKANE, WA 99206 Phone: (509) 924-0784 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15 00 Total Permit Fee: $100 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. **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 **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. Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date 5/1/2009 Receipt # Payment Amt 1550 $100.00 Notes / Conditions of Approval FELTS FIELD AIRPORT OVERLAY ZONE FIRE DISTRICT #I - PLAN REVIEW FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY FD #1. Processed By: CUMMINGS, KATHY Printed By: Lemlcy, Linda Page 1 of 1 PERMIT