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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