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2004, 09-15 Permit: 04006828 SewerSPOISPOKANE COUNTY I 'I j DEPARTMENT OF BUILDING & PLANNING as ouU II' 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 1 Site Information Project Information Site Address: 1502 N LOCUST RD Parcel Number: 45172 0212 Subdivision: CONVERTED CNTY DATA Block: Lot: Zoning: AGS Owner: MOORE, RAYMOND F Address: 1502 N LOCUST RD SPOKANE, WA 99206 Building Inspector: NONE Water Dist: Project Number: 04006828 Inv: 1 Issue Date: Permit Use: SEWER CONNECTION - MISSION Applicant: H & R COMPLETE PO BOX 749 NEWMAN LAKE, WA 99025 Contact: H & R COMPLETE PO BOX 749 NEWMAN LAKE, WA 99025 9/15/2004 Phone: (509) 218-8336 Phone: (509) 218-8336 Setbacks - Front: Left: Right: Rear: Croup Name: Project Name: 1 Permits 1 Sewer Connection Permit Contractor: H & R COMPLETE License 4: HRCOMI.972DD SEWER CONNECTION I $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: 5100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant 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. Sewer lines should be constructed to allow for gravity flow from the 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. i f STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY -EXCAVATION 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. ',Payment Summary' ' Total Fees AmountPaid $100.00 $100.00 AmountOwinp $0.00 Tran Date Receipt # Payment Amt 9/15/2004 5438 $100.00 Processed By: BURRIS, ROBIN Printed By: WENDEL, GLORIA Page I of 1 PERMIT