2009, 04-01 Permit: 09001107 SewerSPOKANE COUMY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 4620 N LUCILLE RD
Parcel Number: 45021.6501
Subdivision: GORDOTT ADD
Block: Lot:
Zoning: UNK Unknown
Owner: TATE
Address: 4620 N LUCILLE RD
SPOKANE, WA 99216
Building Inspector: JOHN LARSON
Water Dist: TRENTWOOD
Project Number: 09001107 Inv: 1 Issue Date: 4/1/2009
Permit Use: SEWER CONNECTION - SUMMERFIELD
Applicant: NORMS EXCAVATING INC
PO BOX 574
VERADALE, WA 99037
Contact: NORMS EXCAVATING 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
License #: NORMSEI972BM
SEWER CONNECTION
585.00 PROCESSING FEE 1 515.00
Total Permit Fee: $100.00
**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 FORA 30 -MINUTE INSPECTION, ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
**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 TQ 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'.
**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH A'L-L'REQUIREMENTS� OF THE \VA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 5100.00 $0 00
Tran Date Receipt # Payment Amt
4/1/2009 1050 $100.00
Processed By: CUMMINGS, KATHY
Printed By: HINTZ, FAITH Page 1 of I
PERMIT