2010, 08-05 Permit: 10004060 SewerSPOKAIIE COURFY
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE •,SPOKANE, WA 99260-0050
Site Information
Project Information
Site Address: 5019 N LUCILLE RD
Parcel Number: 46354.3406
Subdivision: SUMMERFIELD EAST 03RD ADD
Block: Lot:
Zoning: UR -3 Urban Residential 3.5
Owner: SZEMBER, BRUCE
Address: 5019 N LUCILLE RD
SPOICANE, WA 99216
Building Inspector: JOHN LARSON
Water Dist:
Project Number: 10004060 Inv:
Permit Use: SEWER CONNECTION
I Issue Date:
8/5/2010
Applicant: 1 K ELITE CONTRACTING
4902 N LUCILLE RD
SPOKANE VALLEY WA 99216 Phone: (509) 995-1075
Contact: .1K ELITE CONTRACTING
4902 N LUCILLE RD
SPOKANE VALLEY WA 99216 Phone: (509) 995-1075
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit Contractor: J K ELITE CONTRACTING
License#: JKELITE909J6
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 1S TO FIELD LOCATE AND 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
HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED. SEWER LINES SHOULD BE CONSTRUCTED TO
ALLOW FOR GRAVITY FLOW FROM THE LO\VEST 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
8/5/2010 3306 $140.00
Processed By: CUMMINGS, KATHY
Printed By: Force, Faith Page 1 of I
PERMIT