2007, 05-16 Permit 07003038 SewerMay 16 2007 10:46AM SPOKANE#COUNTY#UTILITIES 47771/Y
t•
P. c
Site Information
Site Address: 4003 S BATES RD
Parcel Number: 15334.0611
Subdivision: RANGE
Block:2 Lot: 11
Zoning: UNK Unknown
Owner: KIRILLOV, ANATOLIY N & LYUBOV
Address: 9415 E BOONE AVE
SPOKANE VALLEY, WA 99206
Building Inspector:
Water Dist:
Project Number: 07003038
Inv: 1 Issue Date: 5/ 16/2007
Permit Use: SEWER CONNECTION - WATKINS ADD
Applicant: H & S CONSTRUCTION
11817 E VALLEYWAY AVE
SPOKANE, WA 99206
Contact: H & S CONSTRUCTION
11817 E VALLEYWAY AVE
SPOKANE, WA 99206
Setbacks - Front: Left: Right:
Group Name:
Project Name:
Phone: (509) 926-8964
Phone: (509) 926-8964
Rear:
' Permits
Sewer Connection Permit
Contractor: H & S CONSTRUCTION
Licensed: HSCON'•123KF
SEWER CONNECTION
1 S85.00 PROCESSING FEE 1 515.00
Total Permit Fee: $100.00
FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT(5f19) 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 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 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 LO WEST LEVEL OF ,THE'STRUCTURE
THE INSTALLER AND TIIIS PERMIT MUST BE PRESENT AT THE JOBSITE.AT THE SCHEDULED INSPECTION TIME.
DOTI I STATE LAW RCW 19.122 AND COUNTY COP REQUIRES TI-IE 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
5100.00 S100.00 S0.00
Tran Date
5/16/2007
Processed By: CUMMINGS, KATHY
Printed By: HINTZ, FAITH Page 1 of 1
Receipt ti
2562
Payment Amt
S 100.00
PERMIT
MAY 18 2007 10:45
4777178 FRGE.02