1990, 01-26 Permit App: 90000353 Relocate Residence,0111
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY -AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. 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/application 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
APPLT
9`.:Ir 9:::�:: 9:::>r :}': ;'::'::�c 9� ;!: 9k .,,. .J�. .?�: ;r'!r :�k• 3�::.: i P. !•. ?, ?. ,•.: �.: �r 7=: 3• :�4 ?' A p p #....•. c : .. o I':' .. J.....:... .... .... .:.. .... .
ADDREE- GREENACRES WA 99016
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i
PLAT NAME- NORDHAi,N1 SUB
LOT- .:.: :ZONE- A t z R 1. .I ,'••. i .},. ..
MARK
1107 E 14TH AVE
ADDRESS- SPOKANE WA 992i6
..';ONTACT NAME- OWNER
JILDING FRONi=
PHONE NUMWR=
t a.:•. a. i1. .:. !t n ,l a. a a. !-.:}. ,t. !., !.. ?..:1.:•. t, q d1; 4 crr :t+' REvTEw TNFORMATTON.1r 'ftr '=r '11..... 1 ............:' * 'ar .
_i.
BUILDINGTN/OUT INITIALS
DEPARTMENT NAME
... . r t E
BUILDING 6 SAFETY
COUNTY :..NG:I:NI...,...1:
SETBACK REVIEW REQUIRED
PRE—REI 1—.ATION INSPEC;' TON
I
_See_ . G l r%t� l.4n d7 O
NEW COUNTY ROAD APPROACH
i't ;'. i 3 i -t i... HEALTH NEW ,., i•a :.; . • .1 T i i {'.i (:a
GMW
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900126
Spokane County
DEPARTMENT OF BUILDING &
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-46'5
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK:
LOT AREA:
INFORMATION WORKSHEET
A4/ IgL 1421A1
1/_e,
(.)rilrj pct c{ �Vrz V l-5 1V-s-
e)
) LOT: -4 ZONE: DISTRICT:
F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:(044j
CtOjPJ
OWNER: 1 k o\✓k---2 ��+� �✓ PHONE : _& - 7 0-
MAILING ADDRESS: E (:3 ,j �? /4
CITY/STATE/ZIP: spee927
CONTACT: PHONE: -
SETBACKS: - FRONT: 1 LEFT: l RIGHT /3 REAR: 6E
PERMIT USE:
*********************etc********qtr********************************t� 'e* s
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL
PHONE:
ADDITION CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING HGT:
STORIES2
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT
7SPOKANE COUNTY HEALTH DEPARTMENT
ARTHUR E. LIEN, M.D.M.P.H., Health Officer
s Division of Sanitation
L., �1 N. 819 Jefferson DATEeV 0 -
Spokane 1, Washington
(9/7-
PERMIT
y j
PERMIT NO /
N°
J"
ePWCATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DI�PQS; FACILIT
Name �.l �``-�PFsr*.y _ Address. • --r" c3 `� kr - 4R'' Phone No
Address of Pro .sed S to FT��. - � --_z� / Size of Property
Type of Use `71 l o f r~�_� f l _ \\
yp t.._.,., .__ _ Other
Number of Bedrooms v Building Capacity Camp Capacity Other
Is property belo grade of streets or alleys? Are streets graded in?
Is basement for ding planned?
Water Supply.. R( _/) s (City, Well, Spring). DrywellJJ
//
Septic tank capacity gals. Style of tank._. � 6--1...c
Length of disposal field / 0 0 Leaching Bed Dist. Box
How much excavation or fill proposed?
(1) Draw in property area to scale.
(2) Show relative location of: Proposed house, septic tank, I
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)
SANITARIAN'S REPORT AND RECOMMENDATIONS:
Topography_
Ground Water
Soil Condition Percolation tests: Minutes
Special Recommendations ,e
Date of Inspection
Final Inspection Date
Remarks:..,/ /'
CONTRACTOR RECOMMENDED PERMIT BE
(Form 346—Health-5M-2-55)
Sanitarian
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INSPECTION REPORT
Spokane County
DEPARTMENT OF BUILDING AND SAFETY
North 811 Jefferson
Spokane, Washington 99260-0050
(509) 456-3675
TYPE:
Fire Prevention
X Building
Other
,!/!,4/1 / 1 Po r T CONTACT PERSON. �� % -/C/ � ser.1
PROPERTY ADDRESS: /M • /t/.2 O� p PHONE NO • 97‘-- 7/_2V
APPROVED:
DATE 1 INITIALS
3 REQUIRED CORRECTIONS
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This inspection has been conducted in the interest of your safety and the ordinances and laws adopted by
Spokane County. Your cooperation in correcting the above-mentioned hazards and/or violations is appreciated.
The above -listed items will be reinspected on or before
If you have any questions concerning this inspection or if you feel the reinspection date is not adequate for
compliance, please contact this office at 456-3675.
PAGE / OF / INSPECTOR:
DATE. / J' — ?�/