2011, 08-10 Permit: 11003933 SewerSPOKARE COUN(LY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 4621 N LUCILLE RD
Parcel Number: 45021.0704
Subdivision: CITY OF SPOKANE VALLEY
Block: 2 Lot: 4
Zoning: UNE; Unknown
Owner: ELLIOTT, WM NI
Address: 4621 N LUCILLE RD
SPOKANE. WA 99216-1328
Building Inspector:
Water Dist:
Project Number: 11003933 Inv: I Issue Date: 8/10/2011
Permit Use: SE\VER CONNEC'T'ION
Applicant: ADVANCED EARTHWORKS
PO 130X 473
GREENACRES, \VA 99016
Contact: ADVANCED EARTI !WORKS
PO BOX 473
GREBNACRES, WA 99016
Setbacks - Front: Left: Right:
Croup Name:
Project Name:
Phone: (509) 216-4944
Phone: (509) 216-4944
Rear:
Permits
Sewer Connection Permit
Contractor: ADVANCED EARTHWORKS License #: ADVANIi1950K6
SEWER CONNECTION 1 $125.00 PROCESSING FEE 1 $25.00
Total I'crinit Fee: $15000
**FOR SEWER INSPEC'T'IONS 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.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS 1'O FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTI TER EXCAVATION.
**SEWER STUBS AND DRY SIDE SEWERS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT TI FEY
NAVE 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 ANI) '1'I IIS PERMIT MUST BE PRESENT AT THE JOB SIfE 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--Af LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE
REQUIRES' 1'1 IB INSTALLER COMPLY WITH ALL REQUIREMENTS'OF THE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING11 FOSE RELATED TO TRENCH SAFETY
Payment Summary
Total Fees AmountPaid AmountOwing
$150.00 $15000
$0.00
Tran Date Receipt # Payment Amt
8/10/2011 3459 $150.00
Processed By: CUNIMINGS. KATHY
Printed By: Force, Faith Page 1 of I
PERMIT