2004, 05-24 Permit: 04003538 SewerI�I
fol—cLis
�Io COUNTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 1723 N LOCUST RD
SPOKANE, WA 99212
Parcel Number: 45083.9010
Subdivision: RANGE
Block: Lot:
Zoning: UNIC Unknown
Owner: KOZIOL, TIM
Address: 1723 N LOCUST RD
SPOKANE. WA 991 21208
Building Inspector: F PALADICHUK
Water Dist:
Project Number: 04003538 Inv: 1 Issue Date: 5/24/2004
Permit Use: SEWER CONNECTION - MISSION
Applicant: COURCHAINE Construction
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Contact: COURCHAINE Construction
19818 E SPRAGUE
GREENACRES, WA 99016 Phone: (509) 924-5485
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: COURCIIAINE CONSTRUCTION License k: COURCC'181R7
SEWER CONNECTION
1 $85.00 PROCESSING FEE 1 $15 00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES 8:30-5:00 PM MONDAY'I'iIRU 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 YerilicaticinT'T locate huned cables, gas piping, water lines, etc.
CALL BEFORE YOU DIG, (509)456-8000 I
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 AmountOwing
$100.00 $100.00 $000
Tran Date Receipt # Payment Amt
5/24/2004 2729 $10000
Processed By: SHATTO, JULIE
Printed By: WENDEL, GLORIA Page I of 1
PERMIT