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2011, 09-13 Permit: 11004643 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 3505 N LOCKWOOD ST Parcel Number: 45043.0721 Subdivision: CITY OF SPOKANE VALLEY Block: 4 Lot: 10 Zoning: AGR Owner: PLOTZKI. LEONARD 1 Address: 3505 N LOCKWOOD ST SPOKANE. WA 99206 Building Inspector: JOHN LARSON Water Dist: Project Number: 11004643 Inv: 1 Issue Date: 9/13/2011 Permit Use: SEWER CONNECTION Applicant: NORMS EXCAVATING INC PO BOX 574 VERADALE, WA 99037 Contact: NORMS EXCAVA'T'ING INC PO BOX 574 VERADALE, WA 99037 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 928-0580 Phone: (509) 928-0580 Rear: Permits Sewer Connection Permit Contractor: NORM'S EXCAVATING INC SE\VER CONNECTION License #: NORMSEI972BM 1 $125.00 PROCESSING FEE Total Permit Fee: 1 525 00 $150 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. **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. **INSTALLER IS RESPONSIBLE 'I'O INSURE AIL WASTEWATER DRAINS ARE CONNEC'T'ED 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 AND DRY SIDE SEWERS'ARE TO BE CHECKED PRIORTO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SI IOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. **'THE INSTALLER AND TI IIS PERMIT MUST BE PRESENTLAT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. 130TH STATE LAW RCW 19:122 AND COUNTY CODE REQUIRES THE'INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. Payment Summary Total Fees AmountPaid AmountOwing $150.00 $150.00 $0.00 Tran Date Receipt # Payment Amt 9/13/2011 4072 $150.00 Notes / Conditions of Approval FIRE DISTRICT //I - PLAN REVIEW FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY FD #1. Processed By: SHATTO, JULIE Printed By: Force. Faith Page 1 of I PERMIT