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2011, 04-12 Permit: 11001343 SewerSPOKANT COMTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 620 S KOREN RD Parcel Number: 35231.0913 Subdivision: EASTWOOD ADD Block: Lot: Zoning: UNK Unknown Owner: SAGIERSKI, KLAUS Address: 620 S KOREN RD SPOKANE, WA 99212 Building Inspector: MARK WALKER Water Dist: Project Number: 11001343 Inv: 1 Issue Date: 4/12/2011 Permit Use: SEWER CONNECTION Applicant: STOLZ INC 3808 S CHAPMAN RD GREENACRES, WA 99016 Phone: (509) 928-8621 Contact: STOLZ INC 3808 S CHAPMAN RD GREENACRES, WA 99016 Phone: (509) 928-8621 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: STOLZ INC License #: STOLZI*053N8 SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25.00 Total Permit Fee: $150.00 **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 AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED, 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 $150.00 $150.00 $0.00 Tran Date 4/12/2011 Processed By: CUMMINGS, KATHY Printed By: Force, Faith Page 1 of 1 Receipt # 1197 Payment Amt $150.00 PERMIT