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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 FILE