1988, 09-14 Permit App: 88002760 MH•
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675 •
1 certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. In
addition, 1 have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto comply with same. All provisions of laws
and ordinances governing this type of work will be complied with whether specified herein or not. I understand that the issuance of this permit and any subsequent
inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating
construction, or as a warranty of conformance with the provisions of any state or local laws regulating construction:
SIGNATURE OF APPLICATION
OWNER OR AGENT
PROJECT NUMBER= 88002760
fATE
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SITE :.i 1 ?i::. t... t .... 4303 t ELLEN RD
ADDRESS= :i 1"Ot'+.1'•ilq 1:.. WA 99216
PERMIT '..:`:::..... :.:•...aE•ri._1;. ,;}ID.._ t'`!.lB1.t...1::. ±1+..1M±...
02542-.4403
t•' S. A t •[r .... 002677 PLAT NAME= 1 1•;: e:. ! •: 14d t.1 t.1.'. ` ORCHARDS •
BLOCK= LOT= r:`..t113i::..-:: (IGRa. DIETt= -•
AREA= ,.? •. t ' t..WIDTH= :_P•_: _ ; :.'
.tt, OF 31 1i,,r 0 DWELLINGS= 2
OWNER= t..i }.. t il't ..`, 0475
1 1'':+_..1::. 1 ... 8022 I:: SPRAGUE U.!i::. AVE tai'
t"t ,., ' .i is:' •, '• ` 7i,' i:. 99212'
.. ?.!I :F... ::i : �::" ::i1^`1..�!?: 1"i!il i.:. �'v 1"i
CONTACT NAME= i`: E Y ADAMS .N:NUMBER= +'; :22 0475
BUILDING :.:t... ? B(••Il.:K:.: : FRONT= U !':. ! =. I'•-. LEFT= .10 RIGHT= 10 REAR— .-
: *:rh::,;:. :,:<:. .]: i•.. : 1 :a:r..i:.. 3:i:::.i:: f t REVIEW ! ' "! . i aOh***************4**********
DATE
IN/OUT INITIALS
:DEPARTMENT NAME
ENVIRONMENTAL HEALTH
REVIEW COMMENTS NEW OR ADDI—
E• t .:i t i::. WATER
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CONTRACTOR= t..ji!,1(''e1:.1"' PHONE=
YR/MAKE= 1979 BROADMORE•
MODEL=
WIDTH= r : LENGTH= 7 : f .." t::
10
PRDCESSED BY: WENDEL, GLORIA
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SPOKANE COUNTY HEALTH DISTRICT P,
_ E. 0. PLOEGER, M. D., M.P.H., HEALTH OFFICER
N. 819 Jefferson Street
Spokane, Washington 99201
DATE
PERMIT N0. ! 12- )� / N0. 'A-12903
APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
Name `'— J.a, s Address y��"�S C� �C% Phone No&L
Address of Proposed Site 7
Type of Use Is basement for building planned?
Number of Bedrooms � Building Capacity Camp Capacity Other
Water Supply (Gity, Well, Spring). Drywell
Septic tank capacity ZS gals. Style of tank
Length of disposal field —27) Absorption Pits Leach Bed
(1) Show relative location of: Proposed house, septic tank, -
disposal field, well, garage and other out buildings.
t (2) Make note of any heavy slope or swampy area or any -
other Important topographic details. -
Installer
Final Inspection Date
Remarks..