1990, 06-20 Permit App: 90002873 Storage Bldg JUN-20—'90 14:35 ID:HEALTH SPO TEL N0:4564716 #988 P01
JUN-20—'90 14:34 1 D:DLDU AND SAFETY-5P0 TEL N0i 905-456.4703 •
#791P01 y
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SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W.1303 BROADWAY"AVENUE
SPOKANE,WASH1NOTON 09260
(609)4364675
nttoctrm lloseidpermit/ep licplionia rus
meorm agent 1 certifythat t have exthO t6dS4cfret County ttlon,etate that the information oonteIned in it and submitted ed by rna t n t work P C l Omplfea Ul grAi ner epeoiNed
th
l One of taws and ordinertaes governing y anted WI nol be Londe c to
thorite Spokane County t0 proceed with processing. 1n addition, 1 have read andunderstand
dens aandrl't!a INSPECT
NS iEooalup pE�}UI���n�y state Q Taal
end correct.no, ud a+r r to fC off with same.All pra 4 ectfon epp
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ls
herein authority
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ny sllt/aor 100l andregulating
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p APPLICATION
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Spokane Countyp
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: ` , 6 ? - ( iP
STREET ADDRESS: E t / g 5'0 5 54 ,g K p
CITY/STATE/ZIP: Gx.e*,,, ,4 t �s CcJrq _ 9 90/to
SUBDIVISION: 5'/.z a F 1015 3_3 `� 5/k l / U.// y v>+�✓ A�/e. Ace •'y
7v PLO,3 /'f-.Cart Jack t, (/oi_ C OF P6. 1, 5,
BLOCK: LOT: ZONE:- DISTRICT:
co.-1-f o F fPo/CAAt , 574.7,r F w„
LOT AREA: 3/1o,-.0 F/A: WIDTH:20'7 DEPTH: /50 R/W:
# OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT:
OWNER: 1rjA ic v e.y GJ./K-*ie PHONE: — 9.2a — G r7 y
MAILING ADDRESS: e . 1 g.✓v 5 Sh 9,c�o
CITY/STATE/ZIP: y tK<, (41 990/ 6.
CONTACT: C'9 R-c y PHONE: — ,5 37 — 90/6,
SETBACKS: — FRONT: (0.2 LEFT: 76 RIGHT: /0/ REAR: 5-8
PERMIT USE:
*********************dtlr*d ****lr*lr************ ********,f,*dlr**dr#c#*,k*dtitic****d ***
} ' BD'ILDING INFORMATION
CONTRACTOR LICENSE=NUMBER: #TOWNCBI123C6
CONTRACTOR: TOWN & COUNTRY BUILDERS INC. PHONE: 509 _ 535 _ 9016
NAILING ADDRESS: E 5918 TRENT SPOKANE Wa. 99212
ARCHITECT/ENGINEER: PHONE: — —
MAILING ADDRESS:
NEW: x REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: ?' STORIES:
BUILDING DIMENSIONS: 3 O I 5 O (WIDTH X DEPTH) SQ. FT. : 9 6 O
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
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...SPOKANE COUNTY HEALTH DEPARTMENT
Division of Sanitation DATE ' 'Z � _s/. ___
N. 819 Jefferson
f7Spokane 1, Washington
N? 7962
-
APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITS,
Name 4'4`�z>✓` v1 • `fit.-'--J T _Address...,d �� f /� /.9/7 )/
-"Phone No. _
Address of Proposedd,,Si /�' " J �'1 � - Size of Property-tL_ ' X / -�----�1
Type of Use
y L i_"a Y Other
Number of Bedrooms Y Building Capacity Camp Capacity Other
Is property property below grade of streets or alleys? -2'� Are streets graded in?
o ` How much excavation or fill-proposed9 °
Is basement for building planned /_ L� ,
Water Supply `' ` - 1'�(Ci -Well, Spring). Drywell � _�-�' .'
0:-) of tank 41.-144-71--"`""
?"�2-`""/
Septic tank capacity n? gals. Style
.'entth of disposal field /(')(7Leaching Bed
4 /1) Draw in property area to scale. ;e
rJ
'' (2 Show.relative location of: Proposed house, septic tank,
disposal field, well, garage, and other out buildings. 3 '
1\13 ry-I-) 0°11ONs\ D
�` ) M keVlote of any heavy slope or swamp Da�p�leQ�y1W3LS�S i, -
b; N. ,� othgr important topographic deS�lk.-0. SNp ..,):1011 "0-1 34 it��
_J \)\\ Date when test hole will be reati fa�A-63 „3„�� Np11 4._,,41Q,
°N\ 3 3,15 1
'N inspection -014%
F10-- .j
!
Date installation will be ready for final inspection (that is,
before backfilling)
SANITARIAN'S REPORT AND RECOMMENDATIONS: Date of Inspection_____
Topography
Ground Water
Soil Condition Percolation tests: Minutes
Special Recommendations ........------.
L'iir5 .r& v. 0
Final Inspection Date ;_�_�r_ �
21
Remarks.
.'ti 4
r?",44?",44f \ ` RECOMMENDED PERMIT BE
CONTRACTOR - w- �,;
Sanitarian
(Form 346—Health-2%14-7-53) By
S /2 or Lois 344/ - o< /'
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