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2005, 08-30 Permit: 05006413 Sewer SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING SPOKANE COUITY 1026 WEST BROADWAY AVENUE • SPOKANE,WA 99260-0050 Site Information Project Information Site Address: 16512 E 9TH LN Project Number: 05006413 Inv: 1 Issue Date: 8/30/2005 Permit Use: SEWER CONNECTION NEW CONSTRUCTION, Parcel Number: 45244.3107 SHELLEY LAKE 4TH,LOT7 BLK3 Subdivision: SHELLEY LAKE 04TH ADD PUD Applicant: SCHMITZ,CLIFFORD&MARGO Block: Lot: 16520 E SECRETARIAT LN Zoning: UNK Unknown VERADALE,WA 99037- Phone: (509)999-9773 Owner: SCHMITZ,CLIFFORD&MARGO Contact: SCHMITZ,CLIFFORD&MARGO 16520 E SECRETARIAT LN Address: 16520 E SECRETARIAT LN VERADALE,WA 99037- Phone: (509)999-9773 VERADALE,WA 99037- Setbacks-Front: Left: Right: Rear: Building Inspector: None Water Dist: Group Name: Project Name: Permits Sewer Connection Permit Contractor: OVERMAN CONSTRUCTION License#: OVERMCI044NM SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL(509)477-3604 UTILITIES 8:30-5:00 PM MONDAY THRU FRIDAY Call for inspection prior to cover. ONE WORKING DAY NOTICE REQUIRED. Contractor or applicant 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. Sewer lines should be constructed to allow for gravity flow from the lowest level of the structure. This permit must be presented to the job site inspector for verification. To locate buried cables,gas piping,water lines,etc. CALL BEFORE YOU DIG,(509)456-8000. STATE LAW RCW 19.122 REQUIRES THAT PRIOR TO ANY EXCAVATION THE"CALL BEFORE YOU DIG"CENTER BE NOTIFIED.CALL BEFORE YOU DIG AT LEAST 2 WORKING DAYS IN ADVANCE,(509)456-8000. Spokane County Code requires the installer comply with all requirements of the Washington State Dept of Labor and Industries, including those related to trench safety. Payment Summary Total Fees AmountPaid AmountOwing Tran Date Receipt# Payment Amt $100.00 $100.00 $0.00 8/30/2005 5192 $100.00 Processed By: Hansen,Tom PERMIT Printed By: HINTZ,FAITH Page 1 of 1