2011, 10-20 Permit: 11005494 SewerSromil CouKIY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE. WA 99260-0050
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Site Information
Project Information
Site Address: 4514 N LUCILLE RD
Parcel Number: 45021.6003
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: MCINTYRE, TOM
Address: 4514 N LUCILLE RD
SPOKANE, WA 99216
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 11005494 Inv:
Permit Use: SEWER CONNECTION
1 Issue Date:
10/20/2011
Applicant: MCINTIRE, THOMAS
4514 N. LUCILLE
SPOKANE VALLEY, WA 99216 Phone: (509) 993-2872
Contact: MCINTIRE, THOMAS
4514 N. LUCILLE
SPOKANE VALLEY, WA Phone: (509) 993-2872
99216
Setbacks - Front:
Group Name:
Project Name:
Left: Right: Rear:
Permits
Sewer Connection Permit
Contractor: OWNER
License #: OWNER
SEWER CONNECTION ,
1 $125 00 PROCESSING FEE
1 $25 00
Total Permit Fee: 5150.00
**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. ' , j
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITHALL REQUIREMENTS.OFTHE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCHSAFETY.,
**INSTALLER IS RESPONSIBLE TO INSURE ALL:WASTEWATER DRAINSARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FORWERIFICATION. 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 PRIOR TO CONNECTION TO ENSURE THAT THEY
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED, 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 FACILCPIES.
Payment Summary
Total Fees AmountPaid AmountOwing
$0 00
$150.00 $150.00
Tran Date
10/20/2011
Processed By: SHATTO, JULIE
Printed By: Force, Faith Page 1 of 1
Receipt N
4817
Payment Amt
$150.00
PERMIT