2002, 02-04 Permit: 02000579 Sewer1
SPOKANE COUNTY DIVISION OF BUILDING
AND CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 713 S JERSTAD LN
VERADALE, WA 99037
Parcel Number: 45241.2105
Subdivision: VALLEY RIDGE (PUD)
Block: 3 Lot: 5
Zoning: UR -7 Urban Residential -7
Owner: GOOD SAMARITAN
Address: 17121 E 8114 AVE
GREENACRES, WA 99016-8556
Building Inspector: DAN HOWARD
Water Dist:
Project Number: 02000579 Inv: 1 Lssue Date: 2/4/02
Permit Use: SEWER CONNECTION - VALLEY RIDGE
Applicant: GOOD SAMARITAN
17121 E 8TH AVE
GREENACRES, WA 99016-8556 Phone: (509) 924-6161
Contact: GOOD SAMARITAN
17121 E 8TH AVE
GREENACRES, WA 99016-8556 Phone: (509) 924-6161
Setbacks - Front:
Group Name:
Project Name:
.1
Left: Right:
Rear:
Permits
Sewer Connection Permit Contractor: 1 S KIRKLAND CO License #: JSKIRC•029J7
SEWER CONNECTION 1.S 1 $85.00 PROCESSING FEE
14 1 Total Permit Fee:
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FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
Call for inspection pnor 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 Imes should be constructed to allow for gravity;tlow fmmiulie lowest level of the structure.
This permit must be presented to the job site inspector for veritication:,,To locate buried cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000. ).' ` f ;z 4 l ;N.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION TI-IE',CALL BEFORE YOU DIG" CENTER BE
NOTIFIED. CALL BEFORE YOU DIG AT LEAST 2 WORKINGDAYSIN ADVANCE, (509)456-8000.
$15.00
$100.00
Payment Summary"
Total Fees AmountPaid Amountt wing
$100.00 $10000 $0.00
3 {Tian Date 'y Receipt
�j.i Payment Amt
2/4/02 674 "' $100.00
Processed By: DAWN DOMPIER
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT