2010, 08-17 Permit: 10004289 SewerSite Information
Site Address: 5214 N KELLER RD
Parcel Number: 46344.1507
SPOKANE COUNTY
DEPARTMENT OF BUILDING & PLANNING
1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050
Subdivision: CITY OF SPOKANE VALLEY
Block: Lot:
Zoning:
Owner: BLOTZKE LIVING TRUST
Address: 14316 EMISSION AVE
SPOKANE, WA 99216
Building Inspector:
Water Dist:
Project Information
Project Number: 10004289 Inv: 1 Issue Date: 8/17/2010
Permit Use: DRY SIDE SEWER
Applicant: JOHNSON BROTHERS CONSTRUCTION
12402 N DIVISION ST STE 364
SPOKANE, WA 99210 Phone: (509) 879-9790
Contact: JOHNSON BROTHERS CONSTRUCTION
12402 N DIVISION ST STE 364
SPOKANE, WA 99210 Phone: (509) 879-9790
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name:
I Permits
Sewer Connection Permit Contractor: STOLZ INC License #: STOLZI*053N8
PROCESSING FEE 1 $15.00 SI SEWERCONNECTION 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 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.
Payment Summary
Total Fees AmountPaid AmountOwine
$140.00 $140.00 $0.00
Tran Date Receipt # Payment Amt
8/17/2010 3515 $140.00
Processed By: DOMPIER, DAWN PERMIT
Printed By: Force, Faith Page 1 of 1