2007, 03-19 Permit: 07001346 SewerSPOKANE COUNTY
�Lp'` DEPARTMENT OF BUILDING & PLANNING
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$ IBd l' 102,6- WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
1 Site Information Project Information
1
Site Address: 0 S MCDONALD RD
Parcel Number: 45221.9227
Subdivision: RANGE
Block: Lot: 2
Zoning: UNK Unknown
Owner: CHUBENKO, NIKOLAY
Address: 9922 E 9TH AVE
SPOKANE VALLEY, WA 99206
Building Inspector:
Water Dist:
Project Number: 07001346 Inv: 1 Issue Date: 3/19/2007
Permit Use: SEWER CONNECTION - DUPLEX/SP-I306-02
Applicant: CHUBENKO, NIKOLAY
9922 E 9TH AVE
SPOKANE VALLEY, WA 99206 Phone: (509) 928-1232
Contact: CHUBENKO, NIKOLAY
9922 E 9TH AVE
SPOKANE VALLEY, WA 99206 Phone: (509) 928-1232
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
Permits
Sewer Connection Permit
Contractor: OWNER License #: OWNER
SEWER CONNECTION
1 $85.00 PROCESSING FEE 1 $15.00
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 FOR A 30 -MINUTE INSPECTION. ADDITIONAL
INSPECTION FEES APPLY AFTER 30 MINUTES.
THE INSTALLER 1S 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 TO 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 RCN 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 ALL REQUIREMENTS OF THE 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
3/19/2007
Processed By: SHATTO, JULIE
Printed By: HINTZ, FAITH Page I of 1
1172 $100.00
PERMIT