1987, 08-25 Permit App: 87002761 GarageSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
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 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 DATE
PROJECA NUMBER= '7002;.'6,1
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SITE
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... .......
PLAT#= 00.1865
%4AME= ORCHARD AVENUE ADD(TR,1-228)
WIDTH= 120 DEPTH= i40
i ... .. E t . AVE
..
ADDRESS= ANE WA 99212
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DATE
........................................................
BUILDINC: EAFETY PLAN REVIEW REQUIRED
i4Ppeov.Q.....
ENVIRONMENTAL HEALTH INCRLA::, IN LUT LUVLPAI,L
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AVE
ODDRES= "-:POKANE WA 99202
DESCRIPTION C:ROUP
SQ FT=
TYPE
870825 C„MW
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PHONE= 509 535 366
* INFORMATION WORKSHEET
*
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* PARCEL NUMBER: 0(05713 — 2E3r,62
* STREET ADDRESS: f 8 /
* CITY/STATE/ZIP: i - -
* o
* SUBDIVISION: UFCE4AE AVS/)ug:
*
* BLOCK: 37 LOT: ZONE:A-S DISTRICT:
* /408O0 '/
* LOT AREA: F/A: WIDTH: i1.7..0 DEPTH: / `f-6 R/W: 34- S
*
*
*
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER : '/ IY j/47
MAILING ADDRESS: LC -06/ 9
* CITY/STATE/ZIP:
*
* CONTACT:
PHONE: -- 7e %S
PHONE: 5"." -.SSS -36,/,y-
PERMIT
3 ,/,y
* SETBACKS: - FRONT: LEFT: RIGHT: j REAR: 3`
PERMIT USE:
*
*
*
*
******************************************************************************
*
* CONTRACTOR LICENSE NUMBER:
* CONTRACTOR:9KC- S?"c2
* MAILING ADDRESS: G �S /E7 4.457
BUILDING INFORMATION
£� S y7c Z
PHONE: Sys - 3at
*
* ARCHITECT/ENGINEER:
*
* MAILING ADDRESS:
PHONE: -
*
* NEW: REMODEL: ADDITION:
*
* DWELL UNITS: OCCUPANT LOAD:
* cd. *
BUILDING DIMENSIONS: 0.?4-1/ X 3 (WIDTH X DEPTH) SQ. FT.: 8? -690 y
CHANGE OF USE:
BUILDING HGT: STORIES:
*
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
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;$POKAN E COUNTY HEALTH
rr.:
Division of Sanitation
i. k. "o
Spokane 11. Washington
J -W
1 127 W. Mallon Avenue
DEPARTMENT
DATE
7 5223
3— /9— ,�J
APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
Name
Ar
Address of Proposed Site
Type of Use__
Number of Bedrooms •
•
Address. fI 3 O a eo. i "b`h'h'1o. a .32 %O
Size of Property 1 a X J• a
....... .....---..... - ...... _.._.._..._.............. Other
v Building Capacity Camp Capacity Other
Is property below grade of streets or alleys?_....... Are streets graded in?
Is basement for bui
Water Supply
How much excavation or fill proposed?
ty, Well, Spring).
Septic tank capacity.._.....__fO 0..._._gals. Style of tank.
Length of disposal field. -._._..,1 0.Q......___.___
(1) Draw in property area to scale.
(2) Show relative location of: Proposed house, septic tank,
disposal field, well, garage, and other out buildings.
(3) Make note of any heavy slope or swampy area or any
other important topographic details.
Date when test hole will be ready for
inspection.
Date installation will be ready for final inspection (that is,
before backfilling)
)
Ass
SANITARIAN'S REPORT AND RECOMMENDATIONS:
Topography
Date of Inspection_
Ground Water
Soil Condition
Special Recommendations
Final Inspection Date...._ ./j_
Remarks :.._.-_.._.__._._..__
Percolation testa • Minutes.. ...__ -._-.._-_........___...__..w_.. _...._..