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1988, 10-20 Permit App: 88003331 MHSPOKANE COUNTY DEPAhTMENT OF BUILDING AND SAFETY W. 1303 BROADWAY AVENUE SPOKANE, WASHINGTON 99260 (509) 456-3675 I 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, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work white 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 DATE PROJECT NUMBER= 880(3331 DAT G == 1 0/20/88 PAGE= 01 APPLICATION 3r 3e aeai3e.x..n.*.x.:,(..n.*ac:,iar:*** 3H(.*.u.,t.;(..tt.at..u..u*** AF'F'L_.CCAT:E,ON x..* ...x..x..x..*.x*;(..x_,(--e e.<.ar..** g--3e;e.x....ara(..,=;.u.. SI:TI:i: STREET= 7325 E: FAIRVIEW AVE:: PARCEL1 == 12531 ADDRESS= SPOKANE:: WA 99212 'PERMIT USE= DOUBLE WIDE MOBILE HOME 1 PI...ATt== 004139 PLAT NAME= SP --:375 BLOCK= I...OT= 2 ZONE=== AGSUB D:I:Sft=== E AREA= F/A=-..F' WIDTH 109 DEPTH== 87 R/W=== ':34 1 01 P1_.DGS= ;1= DWELLINGS= 1 OWNER= OLINGER, JIM PHONE= 509 926 2119 STREET= 4912 N SIPPLE RD ADDRESS=:= SPOKANE WA 99212 CONTACT NAME= JIM OLINGER PHONE NLIMBER== 509 926 2117 .BUILDING SETBACKS: FRONT=== 17 LEFT= RIGHT= 30 REAR==== 25 4(.4(..3. ft ....x..i(..y. * 3..3. * 3..tt..3..tt..0 .* * *.*.33..3..3. DEPARTMENT NAME ENVIRONMENTAL HEALTH REVIEW INFORMATION REVIEW COMMENTS Ie 3f..y..p..3{..3..3..3..3:.3* *.3..3.33(3* 44..3..3. DATE IN/IJIJT INITIALS NEW OR ADDITIONAL WASTE WATER 881020 GMW APUTzoveb._ 2 SS 4e.34e4e:3*..3..3*.****#3e:rt343e44..3.g..3*4(..3.3.,e3..3.4*** MOBILE HOME PERMIT aett.ae3eae4g4(.4f..3)(..it.f(..(..(..,..I(..t(..f=;*.f(..tt..f(a(xnar CONTRACTOR=__ OWNER YR/MAKE= SIii:i :I:A1...t PROCESSED BY: WEi:NDEi:L, GLORIA . PRINTED BY: WENDEL, GLORIA PHONE== MODEL= WIDTH= 00 LENGTH= 00. HEIGHT= 00 *3)(i=:*.*.*3*.)(*****4*4* X *3**.3.3*4*3.tt.*..3.3.3(.X. TITANIC ¥0U x'lkiE*.*1r..,r..,r..tt..*11-(**Ert*-X******ri##3(..p..tt..p..3334 /r2it/ fe/? tfr'? / INFORMATION WORKSHEET PARCEL NUMBER: / 2 ‘5.--/ 5 ' / 210/7 STREET ADDRESS: 2 J 2_C E, 7c4 v/ 5x- CITY/STATE/ZIP: 553/ SUBDIVISION: 57s -O4-29 ,V, S7i9 / FF1 / Z BLOCK: LOT: S ZONE: DISTRICT: LOT AREA:/ I/3S F/A: WIDTH: /0 DEPTH: O % ,R/W: it OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT: ace/7 MPT AVE OWNER: %%� /%Y% ( //i;atlg LISA PPH NE. -95 - 2'// / MAILING ADDRESS: '47912 /� 7 Al fr� /. ci CITY/STATE/ZIP: AQ/r 4ji/.E , ui S'fj<, f P2 / /% CONTACT: PHONE: SETBACKS: - FRONT: S /h LEFFT:1 /p ARIGHT: `SO REAR: 2 ,' PERMIT USE: M_ , /gem CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: -iE COUNTY HEALTH DISTRICT ` ONME TAL HEALTH DIVISION COW*:H (509) 456-604Ui la 1 y 1 LIl 1. APPI1ICATIDN NO 2.CENSUS TRACT DATE 91► APPLICATION Ft5-0/9/ ,' OR L 1 $ 'IPTIQN OF PROPERTY:) (",[� 4 ••OP:RT WITHIN: \ A SSA -- -r. - . . . // o�-u"'i 5-- / - , N 5. L OWNER OO FIAT ROP T :. ALRE$$; PHONE: •.. OC ' ..„0„4.4/ ..fes 8. I' POSED USE OF PROPERTY/ )d SINGLE-FAMIL REST ENCESUMBER OF BEDROOMS' OMPLETE ALL THAT APPLY, TYPE OF STR TURE0':1LE HOMERANCHER ❑ A SPLIT ENTRY ❑ MULTI- ■ MULTI-FAMI COM' NO,UNITS NO,BEDROOMS/IINIT LEVEL ❑COMMERCIAL .ISTRIAL (DESCRIBE) 7, PROJECTED FLOW RATE (IN GALLONS PER DAV) IS THIS PROPERTY LOCATED WITHIN A PUBLIC SEWER UTILITY DISTRICT OR MANAGEMENT SYSTEM, ■ YES LINO IF YES, NAME OF DISTRICT/SYSTEM: .47 8. WHAT WILL BE INSTALLED OR ALTERED? kEPTIC TANK i C 2, ALLONS NO. -TANKS ARE TE THOLES KRAINFIELD AI JO LINEAL FEET READ OR INSPEC 10, IF REPLACEMENT, WHAT [S REASON °DRY WELL GALLONS TIO S MIND FOR REPLACEMENT? g,❑ DOUBLE PLUMBING: °REQUIRED ■RECOMMENDED ❑OTHER (SPECIFY): TE TIONS ONS INSTRUC GIVEN TO APPLICANT • �r1 11,WHAT IS THE SOURCE OF WATER FOR THIS PROPERTY? PUBLIC WATER SYSTEM; NAME n'7411111111 J ❑ HARED WATER SYSTEM ['PRIVATE WELL °SPRING ■LAKE [JOINER: THIS APPLICATION AND PERMIT APPROVAL IS CONTINGENT UPON MEETING REQUIREMENTS SET FORTH IN THE SPOKANE COUNTY HEALTH DISTRICT RULES AND REGULATIONS FOR ON-SITE SEWAGE SYSTEMS,APPROVAL IS BASED ON THE ACOFCTHECY OP HEALTryHHE INFORMATION DISTRICT, YOU MAYPLIED APPEALYTOHE THEPHEALTHTOFFICEROU ARE WITHINDTENA(T10)p)DAYSIOF DENIALOFTHH THE ISN APPLICATION (SEE APPEAL PROCEDURE). COdis PERSON: / PHONE(S): o[/ 79 S -� ;OF OWNNEE' y �' ZED REPRESENTATIVE: 4 -Oral PHONE: DATE: i. MA ' RM AND ORRPOND E /r, T'Z#DLE INSP, CALLED '' ON (DATE Griv.cfrm - FEES PAID: ' 1T.;1. DA REG,NO, Pr FILL/OT11ER INSP, CAU.ED IN ON(DA . APPLICATION - 3 j' d i ��r � '/(r FINAL INSP. CALLED)" IN ON (DATE) salgra Ij.)t AP /1/ PERMIT- Li 1 71��%IA I EXPERIMENT MI � RELEASE TO BUILDING CODES DEPT.(DATE) REINSPECTION . . • 1.111.111111111 . T r • 1/11 AL: ) NAT • ••AI I• E �1-1r&11F1 a I ,--951-- OTHER EH PROGRAM APPROV SIGN•AND DATE 0 R AG NCY ROVAL: NAME OhENCY, PERSON APPROVING, 1 DATE 11^ -/• , INURE AND is r^s - �PPLICATION EXPIRES: I1P,TEE TISSUED: iioW/ #� EXPI•ES: / rIra „ •riN INSTALLER'S SIGN: 12.FIN I • .4 IIV ,OVEI:/ 41.4 1 "3"TK : •b'I IONAL 'yJ •KS AND AS -BUILT PLANARE TO BE P ED ON THE BACK 4, THIS ORM. P.I... ED PLOT ACCC/'P/WY T1. , APPLICATION, AL* i ITH ANY OTHEi'ERTINENT INFOIIMATI, I, SUCH 's LEL,' L DESCRI --- ILL ..,G!�i r c+A • 1. Ow . I 0 � PLAN Is TO ON P ) �} � �4 .' I 4 r A -c> ', r , 'mist )-Q1 nIntetiff- a11 i Co - I, /.Ar ` .. J ti r Ij44.- i_;(-- if. / s . 1!-07', ,, " .r tr/er_I !, SC11D-EHD- X12 (REVI sED 1'')'/83) SEC P- sr ,3 5 .—W OCT -20-'89 10:27 I D: HEALTH SPO TEL t l0: 509-455-4716 r. , % J_ SPOKANE COUNTY HEALTH DISTRICT ENVIRONMENTAL HEALTH DIVISION APPL.1/ 4210 P©2 FINAL INSPECTION FOR SEWAGE SYSTEM AT (numerical address or lot and block in plat or section, township; and range and road) Please fill out in heavy dark line (felt-tip pen or equal) with 4 straight edge. Plan is to include outline of structure (if available) as its position occurs on the prop- erty. Identify by measurement actual location of septic tank, d>lainfield lines, drywell, or other on-site sewage facilities, property lines closest to drainfield, on-site well (when applicable), driveway, and road frontage. Septic tank access must be referenced to a known fixed surface structure. NORTH 1 FINAL INSPECTION MADE BY COMMENTS: Yv5-- 277 1/83