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2012, 08-02 Permit: SW-12001895 SewerSPOKANE COUNTY BUILDING AND PLANNING PERMIT Application Number: SW -12001895 Permit Issued Date: 08/02/2012 Expiration Date: Project Description: Permit Type: SEWER CONNECTION SEWER Primary Contact: TOM GROESBECK EXCAVATING Applicant: TOM GROESBECK EXCAVATING Address: 10105 E KNOX SPOKANE, WA 99206 Phone: 509-868-8145 Email: SITE INFORMATION: Site Address: Parcel Number: 18423 E MISSION AVE 55074.1578 Subdivision: SIMPSON ADDITION TO GREENACRES Assessor's Description: GREENACRES IRR DIST EXC W220' THEREOF Inspection Area: Zoning: PL A E1/2 OF BLK 40 Water District: Consolidated Irrigation District #19 Owner: Address: Phone: EVERETT, SHARON L 18423 E MISSION AVE GREENACRES, WA 99016-8514 Email: Fire District: Spokane Valley Fire Land Area: 70510 Square Feet CONTRACTOR INFORMATION: General Contractor TOMGRE*09504 TOM GROESBECK 10105 E KNOX SPOKANE, WA 99206 509-868-8145 DETAILS: Class Type Quantity Unit Charge Value SEWER SEWER CONNECTION FEE DETAIL: Processing - Utilities Utilities Permit 1 $125.00 $125.00 Total Fee: $125.00 $25.94 $125.00 $150.94 CONDITIONS: Inside Public Transit Benefit Area 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. Date Printed: 08/02/2012 13:35:04 Printed by: IIS APPPOOL ASP.NET v4.0 SPOKANE COUNTY BUILDING AND PLANNING PERMIT • Permit Issued Date: Application Number: SW -12001895 08/02/2012 Expiration Date: 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. INSTALLER IS 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 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 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 RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. Date Printed: 08/02/2012 13:35:04 Printed by: IIS APPPOOL\ASP.NET v4.0