2005, 05-10 Permit: 05003173 Sewer1
SPOKAIsa1 Car, (TY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1
Site Information
Project Information
Site Address: 11612 E JACKSON AVE
Parcel Number: 45091.2007
Subdivision:
Block: Lot:
Zoning: UNK Unknown
Owner: LOUTZENHISER, JUNE B
Address: 11612 E JACKSON AVE
SPOKANE, WA 99206-4733
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 05003173 Inv: 1 Issue Date: 5/10/2005
Permit Use: SEWER CONNECTION - PINECROFT
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:
1 Permits
1
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION
SEWER CONNECTION I $85 00 PROCESSING FEE 1 $15.00
License#: COURCC•18I R7
Total Permit Fee: 8100.00
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 REQUIRED.
Contractor or applicant 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 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. i
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.
Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries,
including those related to trench safety.
'Payment Summary
Total Fees AmountPaid AmountOwing
8100.00 8100 00 $0.00
Tran Date Receipt # Payment Amt
5/10/2005
Processed By: BURRIS, ROBIN
Printed By: HINTZ, FAITH Page I of I
2568 $100.00
PERMIT