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2006, 10-12 Permit: 06007343 SewerSPOKANE COUNTY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 1 Site Information Project Information Site Address: 2123 N LILY RD Parcel Number: 35124.0513 Subdivision: CONVERTED CNTY DATA Block: Lot: Zoning: UNK Unknown Owner: ANDERSON, RANDY Address: 2123 N LILY RD SPOKANE, WA 99212 Building Inspector: JOHN LARSON Water Dist: Project Number: 06007343 Inv: 1 Issue Date: 10/12/2006 Permit Use: SEWER CONNECTION - EDGERTON Applicant: ANDERSON, RANDY 2123 N LILY RD SPOKANE, WA 99212 Contact: ANDERSON, RANDY 2123 N LILY RD SPOKANE, WA 99212 Setbacks - Front: Group Name: Project Name: Phone: (208) 755-8335 Phone: (208) 755-8335 Left: Right: Rear: 1 Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION 1 $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. THE 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 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 $100.00 $100.00 $0.00 Tran Date Receipt # Payment Amt 10/12/2006 5861 $100.00 Processed By: SHATTO, JULIE Printed By: HINTZ, FAITH Page I of 1 PERMIT