1994, 08-09 Permit App: 94007652 Pool ,PROJECT NUMBER= 94007652 APPLICATION •
' DATE= 08/09/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 14121 E SPRINGFIELD AVE PARCEL#= 45143. 1209
ADDRESS= SPOKANE WA 99216
PERMIT USE= SWIMMING POOL
PLAT#= 002764 PLAT NAME= VERADALE HEIGHTS 02ND
BLOCK= 4 LOT= 3 ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 107 DEPTH= 140 R/W= 50
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= JACOBSON, DON & VERNA PHONE= 509 922 0917
STREET= 14121 E SPRINGFIELD AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME= DON JACOBSON PHONE NUMBER= 509 922 0917
BUILDING SETBACKS: FRONT= EXIS LEFT= 70 RIGHT= 21 REAR= 36
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
HEALTHDIST SITE PLAN REVIEW I -/Z7/
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COMMENTS:
***************************** SWIMMING POOL ******************************
CONTRACTOR= OWNER PHONE=
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PRIVATE POOL Y 50. 00
STATE SURCHARGE Y 4 .50
COUNTY SURCHARGE Y 9. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
SWIMMING POOL 63.50 . 00 63.50
63.50 . 00 63. 50
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
SPOKANE COUNTY HEALTI—I DEPARTMENT
Division of Sanitation DATE ....:,(/‘;/✓"5LN. 819 Jefferson
Spokane 1, Washington
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PERMIT NO 7a- N? $S75
APPLICATION FOR PERMITTOINSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
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Name GZitppe _--_/6-l41—1? c a Address 7/6')' 9A/one No" s1/6
Address of Propos Sit 11.0./._—_,21__1Size of Propertyg.a X / 5�v
Type of Use her
Number of Bedrooms y Building Capacity Camp Capacity Other
Is property below grade of streets or alleys? ) Are streets graded in?
Is basement for build' g planned? How much excavation or fill proposed?
Water Supply t��""� ( ty, Well, Spring). Drywell v -2.—)--•—`--7-1-"A
Septic
2'?'-• `—
Septic tank capacity ` G ` gals. Style of tank
Length of disposal field /c C Leaching Be
(1) Draw in property area to scale. I_ rest) ��-3I
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(2) Show relative location of: Proposed house, septic tank, 4
disposal field, well, garage, and other out buildings. / n
(3) Make note of any heavy slope or swampy area or any /I
other important topographic details.
•If
Date when test hole will be ready for - I4
inspection
Date installation will be ready for final inspection (that is, (,,f)J
f a .
before backfilling)
SANITARIAN'S REPORT AND RECOMMENDATIONS: Date of Inspection
Topography
Ground Water
Soil Condition Percolation tests: Minutes
Special Recommendations / yam^
Final Inspection Date i Z1-_5 V,7-4-i Arevrt?
Remarks• (((
T llC`__1l Z'at7-9,;* r 04
StilA f"
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CONTRACTOR RECOMMENDER R�RMIT BE ` ��
C'A)(ACT iZ,,:.4.-,, .4,1M C.-
F--
(Form 346-11eaJth-2%M-7-53) By
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