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2004, 06-09 Permit: 04003966 SewerSPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260-0050 Site Information Site Address: 1425 S WINTER RD SPOKANE, WA 00000 Parcel Number: 45193.1111 Subdivision: Block: Lot: Zoning: UNK Unknown Owner: BLACK, KAREN L Address: 4203 N LOCUST SPOKANE, WA 99206 Building Inspector: F PALADICHUK Water Dist: Project Information Project Number: 04003966 Inv: 1 Issue Date: 6/9/2004 Permit Use: SEWER CONNECTION - WOODLAWN/BEVERLY HILLS Applicant: BLACK, KAREN L 4203 N LOCUST SPOKANE, WA 99206 Phone: (509) 922-2060 Contact: BLACK, KAREN L 4203 N LOCUST SPOKANE, WA 99206 Phone: (509) 922-2060 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Sewer Connection Permit Contractor: OWNER License #: OWNER SEWER CONNECTION I $85.00 PROCESSING FEE 1 S15 00 Total Permit Fee: S100.00 FOR SEWER INSPECTIONS CALL (509) 477-3604 UTILITIES §: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 $100.00 $100 00 $0.00 Tran Date 6/9/2004 Processed By: SHATTO, JULIE Printed By: Truax, Diane Page 1 of 1 Receipt # Payment Amt 3057 $100.00 PERMIT