2009, 02-26 Permit: 09000610 SewerSPOKANE COLNIY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 4921 N LUCILLE RD
Parcel Number: 46354.3410
Subdivision: SUMMERFIELD EAST 03RD ADD
Block: 14 Lot: 10
Zoning: UR -3 Urban Residential 3.5
Owner: HENDERSON, MARK
Address: 831 S SHELLEY LAKE LN
SPOKANE VALLEY, WA 99037
Building Inspector: JOHN LARSON
Water Dist: TRENTWOOD
Project Number: 09000610 Inv: I Issue Date: 2/26/2009
Permit Use: SEWER CONNECTION - SUMMERFIELD EAST 3RD
ADD
Applicant: POOL WORLD INC.
13524 E SPRAGUE AVE
SPOKANE, WA 99216
Contact: POOL WORLD INC.
13524 E SPRAGUE AVE
SPOKANE, WA 99216
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 928-6585
Phone: (509) 928-6585
Rear:
Permits
Sewer Connection Permit
Contractor: POOL WORLD INC License#: POOLWI*241CP
' SE\VER CONNECTION
1 585.00 PROCESSING FEE 1 S15.00
Total Permit Fee: S100.00
i
**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. P:�ERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES. N^/ ,1
P l�• ti
**INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY
BE REQUIRED TO PERFORM TESTS FOR VERIFICATION.IINSTALLER IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIORI;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 TOffHE MAIN. SEWER' LINES SHOUI:D BE CONSTRUCTED TO ALLOW FOR
GRAVITY FLOW FROM THE LOWEST LEVEE OFT11ESTRIUICTURE's: r4'•1+•;'..
**THE INSTALLER AND THIS PERMIT MUSTCBE'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.
,s
N. 9R 1 -?•;1•111>•
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**CALL 1-800-424-5555 BEFORE YOU DIG --AT LEr\STiWO
2 RKING DAYAYS)IN,ADVANCE. SPOKANE COUNTY CODE
REQUIRES THE INSTALLER COMPLY WITH AL-UREQUIREMEN'TS'OFTHE WA STATE DEPT OF LABOR & INDUSTRIES,
INCLUDING THOSE RELATED TO TRENCH SAFETY.
Payment Summary
Total Fees AmountPaid AmountOwing
$100.00 $100.00
$0.00
Tran Date Receipt # Payment Amt
2/26/2009
Processed By: DOMPIER, DAWN
Printed By: HINTZ, FAITH Page I of I
601 $100.00
PERMIT