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1997, 07-25 Permit App: 97005443 Sewer
Spokane County tai mon of Utilities Cl�_\ - S IA 3 SEWER CONNECTION PERMIT��_ APPLICATION FORM PLEASE NOTE: This application form must be filled out accurately and in its entirety, and signed, or a permit will not be issued Also note that sewer permits are valid for 12 months from the date of issuance. 'No extensions will be granted. PROJECT INFORMATION Job address: Dry Line -I Owner's name: C' � (Y(N) Lanzce--G._ Dous Inc. i �. L a \ _< � „� 1�,,, p Sewer?las --g---- � - City: Spokane, WA (,{ , , ,1. j Zip: , 1 l Parcel number (if kna n): City/State: Spokane, WA Zip: gu n R Phone: 509-483-6532 First-time contractors or home -owners performing the installation must first contact the utilities department (tn person or via phone [456-3604]) before a permit can be issued. Name of Utilities Division person contacted: CONTRACTOR INFORMATION Contractor (company name): I State contractor license number: Cannon Excavatin Business address: Contact Name: P.O. Box 28778 Kurt Cannon City/State: Spokane, WA Zip99208-8778 Phone. 509-467-6522 Phone: 994-3013 INTERIOR PLUMBING ALTERATIONS? (yes/no) tea. F:11 out thein ormation in the table below if applicable" Contractor (if different from above): Business Address: Phone: City/State/Zip: **Forplumbingreversalfee nforneahon.,,eere;+ers+cslde©ffh form. FEE INFORMATION Sewer Connection: Number of Buildings X (tin=) $100 (pa maW = $ TOTAL FEE • For a single family residential unit, one permit is required; • For a condominium, townhouse, duplex, triplex or fourplex with separate ownership (as determined by lot lines) separate address and separate stub, one permit is required per address per stub; • For a single building duplex, triplex or fourplrx with single ownership, one permit is required • Multiple buildings (apartment's, industrial complexes) with single ownership, one permit required per building connecting to the sewer. (For situations not covered here, call the County Division of Utilities @ 456-3604) APPLICANT SIGNATURE: Date: Return to: SPA -1 Caatty D-&" of B -A&9 & Pt__9 West 1026 Brom Ammo ' SpeAme, lVarbindrar 99260 PHONE: (509) 456-3675 * FAX (509) 324-3198 • TDD: (509) 3243166 ;pot.. Cowty eon not wta naw on th. haau o[ dazab hq m dt. admaon M. of c..CalrQt of anplotrtrt K iO Woganu m 2CMUM wlt . ,O W i J J J mow•. .1 "208" POND SECTION DETAIL o NOT TO SCALE Y " Q 4 BACK AND SIDES OF "208" POND LO O Ce O TO BE HIGHER THAN PAVEMENT SIDE r N O O d O CL Q D cWca 9 OC z O POND_ _ENTRY w v a a AS PER PLAN, 3' MIN. VARIES 4' MIN. 3' DRYWEU. GRATE UNE POND WITH GRASS SOD r • ` z dPE iso �T SLOPE SOD TO TOP OF DRYWELL CONCRETE CURB INLET 4*' PORTLAND TYPE 1 SPOKANE CO. STO. CEMENT CONCRETE I DRYWU_ } "208" POND FLOOR PLAN VIEW: �_i-�_► NOTE : Pond floor elevation on plan is fop of sod. NOTE : All drywells shall be installed with filter POND ENTRY - fabric (AMOCO .#4545 or approved equal :�:'••=• _ around the Drywell barrel and between ASPHALT --,.,the Drain rock and excavated lateral ground. L"=2' MINIMUM OR AS ct sediment, a 4'x4' (min.) piece of filter 3- "L"=2' NOTE To cone EDGE OF PAV'T. SPECIFIED ON PLANS fabric shall be placed between the drywell ring and EDGE or PA\V(T,..l OR BACK OF CURB cover when the drywell is installed, then decked periodicaily and cleaned of sediment. Once grass has been established in the drainage swole, the fabric shall be removed. DETAIL "A'!