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2009, 10-05 Permit: 09005052 SewerSPOKE COLNrY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 Site Information Project Information Site Address: 14406 E LONGFELLOW AVE Parcel Number: 45022.2303 Subdivision: THROOP & FITZPATRICKS SUB Block: 3 Lot: 3 Zoning: UNK Unknown Owner: RAY, RANDY L Address: 14406 E LONGFELLOW AVE SPOKANE, WA 99216 Building Inspector: Water Dist: Project Number: 09005052 Inv: 1 Issue Date: 10/5/2009 Permit Use: SEWER CONNECTION Applicant: H & R COMPLETE PO BOX 749 NEWMAN LAKE, WA 99025 Contact: H & R COMPLETE PO BOX 749 NEWMAN LAKE, WA 99025 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 218-8336 Phone: (509) 218-8336 Rear: Permits Sewer Connection Permit Contractor: H & R COMPLETE License #: HRCOMI*972DD PROCESSING FEE 1 $15.00 Si SEWER CONNECTION 1 $125.00 Total Permit Fee: $140.00 **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 TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED 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 ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. 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 FACILITIES. Payment Summary Total Fees AmountPaid AmountOwing $140.00 $140.00 $0.00 Tran Date Receipt # Payment Amt 10/5/2009 4235 $140.00 Processed By: CUMMINGS, KATHY Printed By: HINTZ, FAITH Page 1 of 1 PERMIT