2004, 10-04 Permit: 04007358 Sewer1
1"1
SPOKANE.. COUNT
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Site Address: 4724 N LARCH RD
Parcel Number: 45011.0501
Subdivision: PEPLINSKI ADD
Block: 2 Lot: 1
Zoning: UNK Unknown
Owner: FISHER, CHARLES P
Address: 4724 N LARCH RD
SPOKANE, WA 99216-1538
Building Inspector: JOHN LARSON
Water Dist:
Project Information
Project Number: 04007358 Inv: 1
Permit Use: SEWER CONNECTION
Applicant: H & 5 CONSTRUCTION
11817 E. VALLEYWAY AVE
SPOKANE WA 99206
Contact: H & S CONSTRUCTION
11817 E. VALLEYWAY AVE
SPOKANE WA 99206
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Issue Date: 10/4/2004
Phone: (509) 926-8964
Phone: (509) 926-8964
Rear:
Permits
Sewer Connection Permit
Contractor: H & S CONSTRUCTION License Pt IISCON**123KF
SEWER CONNECTION
1 $85.00 I'ROCESSING FEE
Total Permit Fee:
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY
J: I
Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED.
Contractor or applicant is to field locate and confirm the elcbahon/:and d position of sewer stub prior to any other excavation.
Sewer stubs are to be checked prior to connection to ensurkthat they have"acceptable grade and are clear and unobstructed to the main
sewer. Sewer lines should be constructed to allow for gravity flow from tfie 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.
STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO AN 5EXCAVATION 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 q
1 $1500
5100 00
Payment,Summary'
Total Fees AmountPaid AmountOwing ' Tran Date Receipt # Payment Amt
5100 00 5100.00 $0 00 10/4/2004 5898 $100 00
Processed By: FORRY, JEFF
Printed By: WENDEL, GLORIA Page 1 of 1
PERMIT
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