2011, 07-11 Permit: 11003211 SewerSPo it CoUNTY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 4914 N LUCILLE RD
Parcel Number: 46354 3201
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning: SFR
Owner: I3ERGMAN, JOSHUA X. 1312ITINEY
Address: 4914 N LUCILLE RD
SPOKANE VALLEY, WA 99216
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 11003211 Inv: I Issue Date:
Permit Use: DRY SIDE SEWER
7/11/2011
Applicant: 1 K ELITE CON'T'RACTING
4902 N LUCILLE RD
SPOKANE VALLEY WA 99216 Phone: (509) 995-1075
Contact: J K ELITE CONTRACTING
4902 N LUCILLE RD
SPOKANE VALLEY WA 99216 Phone: (509) 995-1075
Setbacks - Front:
Group Name:
Project Name:
Left: Right:
Rear:
Permits
Sewer Connection Permit
Contractor: J K ELITE CONTRACTING
License #: JKELITE909J6
SEWER CONNECTION 1 $125 00 PROCESSING FEE
$25 00
Total Permit Fee: $15000
"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 TI1E WA STATE DEPT OF LABOR & INDUSTRIES.
INCLUDING THOSE RELATED TO TRENCH SAFETY.
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARECONNICTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE ANI) 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
FIAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LOWEST -LEVEL OFTHE STRUCTURE. -
c
**"THE' INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE 1013_ SITE AT THE SCHEDULED INSPECTION TIME.
BOTI I STATE LAW RCW 19 122 AND COUNTY CODE REQUIRES TI IE INSTALLER TO GIVE NOTICE OF EXCAVATION TO
OWNERS OF UNDERGROUND FACILITIES.
Payment Summary
Total Fees AmountPaid AmountOwing
$150.00 $150.00
$0.00
Tran Date
7/11/2011
Receipt # Payment Amt
2831 $150.00
Notes I Conditions of Approval
FIRE DISTRICT # I - PLAN REVIEW FEE IS REQUIRED FOR ALL SITE PLAN REVIEWS CONDUCTED BY FD #1.
POSSIBLE FLOOD PLAIN ON SITE
Processed By: DON/PIER, DA\VN
Printed By: Lemlcy, Linda
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PERMIT