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2009, 03-09 Permit: 09000770 SewerSPOKA(`l£ Cowry SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 4724 N LARCH RD Parcel Number: 45011.0501 Subdivision: PEPLINSKI ADD Block: 2 Lot: 1 Zoning: UNK Unknown Owner: FISHER, JOHN Address: 4724 N LARCH RD SPOKANE, WA 99216-1538 Building Inspector: JOHN LARSON Water Dist: CONSOLIDATED ID #19 Project Number: 09000770 Inv: 1 Issue Date: 3/9/2009 Permit Use: SEWER CONNECTION - WELLESLEY MANOR Applicant: FISHER, JOHN 4724 N LARCH RD SPOKANE, WA 99216-1538 Contact: FISHER, JOHN 4724 N LARCH RD SPOKANE, WA 99216-1538 Phone: (509) 868-6426 Phone: (509) 868-6426 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION I $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 FLO\V 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 3/9/2009 Receipt # Payment Amt 720 $100.00 Notes / Conditions of Approval TILTON EXCAVATING TO MAKE SEWER CONNECTION. Processed By: CUMMINGS, KATHY Printed By: Lcmlcy, Linda Page 1 of 1 PERMIT