1984, 12-24 Permit App: 0003795 AdditionBUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) (first) (m)
S/1"/ri/ /►r /!/1/4 /1
Department Use Only
Fes;.
Comm
2 Project Address (not Mailing Address) or Road Name Space Zip
aDA 5- 24e/oil/ # t i'9.1o4.
3 City/Community I
State
Subdivision/Plat Name
4 Assessor Parcel No.
/ —
/S -4Z/ — O 9.e
Lot
Block
/ 78
* * * DEPARTMENT USE ONLY * it *
5 Sic Code
Zone Act. #
Zone
f Sub
Project No.
345
6 Dwell # 1
No. of Buildings
Sq. Ft./Acre
-OCO
Depth
Frontage
7 Set Ba J ront 1 (L)S-1
(R)S-2
j Rear
Census Tract
I Module No.
Initials
971-44)
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Contractor Firm Name
Street Address
Zip
City
I State
Phone
( )
Contact Person
License No.
Phone if different than above
( )
8 Owner/Agent (if different than #1 above)
AAVE/74 h)ELXL,_
MAI, mss Address
a4,7 Z- Lr%/oAJ .Pd
9 Zip
99206
City
vS,o k a a�
State
to A
Phone
(5-09) 9A4 - i 7 f7
12 Review Required
Plan Check (Y/N)
Other (Y/N)
SEPA Exempt (Y/N)
Date
15 Type Work ❑ Bldg
❑ Fire
iiViMFI
❑ Demo
0 New
&•"�Add/Alter
0 Replace
❑ Move //
❑ Other
14 Describe Work �/ C��i /'L K/ e/t P74'" 4...111/2
14L /I/ / �o `?OMe* ' i1 c add -le Sewee
10 Applicant Name
„tem
Stteet Address
11 Zip
City
State
Phone
( )
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional Information
E
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is nota Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
Environmental Health
W. 1101 College
Room 200
❑ Commercial;
❑ New Construction;
❑ Additional structure;
❑ Residential
❑ Bldg alteration/addition
APCATIOj�#
Conditions/Comments•
.�')► n 4L a
Release
Release
w/cond 1
Hold 2
vI
l...
Planning/Zoning: ❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
N. 721 Jefferson ❑ Setbacks; 0 lot w/d; 0 lot size; 0 use/zone;
❑ CU, variarr•P- zonPFha ae• shoreline; // ■ fence;
O Other (?•6471)I11 le- l2 - E."X-7/i%7 Cfe/7; o/i� �R,Pee.%
Conditions/Comments: i c.)- ; . � GJ /G„5 �e For'€
ifloide, A -m e- / _ ,t?e-M W14 -et. ",k 4 ..s _ u � � 4� «,~5i 1 /
/�� A,
eImoA�-rAeNAf �- �%
I/4 a $JtOAt A c-0 )c)n ,�, u���rvo
_ -4 eo4)/icv1 Roo
Engineers: 0 Commercial; 0 Residential;
N. 811 Jefferson 0 drainage 0 new access/approach;
O road improvements
Conditions/Comments •
O Flood Plain;
O fence;
Utilities: _■
N..81811 Jefferson
Conditions/ Comments.
Plan Exam
Fire Prev.
Conditions /Comments•
Project Representative
0. Agencies Performing Special Inspection:
co
Telephone
c 1
0
m
I`- E 2
h 0
m
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
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S poi we County
Health District
West 1101 College Avenue Spokane, Washington 99201-2095
January 6, 1986
Ms. Anna Smith
South 202 Union Road
Spokane, Washington 99206
Re: Proposed sewage system at South 202 Union
Dear Ms. Smith:
The District signed off your building permit for a mobile home on
December 21, 1984, because you had applied for a Spokane County Health
District permit to relocate your sewage system. (The reason the system
had to be replaced was because the existing one would be in conflict with
the mobile home.)
The sewage permit expired on December 21, 1985, and therefore, a field
investigation was conducted on December 27th to determine the status of
the property. At the time of inspection, a mobile home was observed at
the site.
According to our records, the new sewage system was never installed and
inspected. Therefore, you are in violation of the Spokane County Rules
and Regulations for Sewage Disposal Systems, March 1985, Section 1.04.090,
which states:
"4. Every premise on which sewage is produced...shall be connected
to a sewage system which complies with the provisions of these
regulations."
The sewage system is to be replaced and inspected by April 1, 1986. If the
deadline is not met; it will be necessary to refer the matter to the County
Prosecutor. As the permit has expired, you will have to reapply at a fee
of $30.Q0.
If you have any questions, please feel free to contact our office at 456-6040.
Sincerely,
ENVIRONMENTAL HEALTH DIVISION
Pamela Heeter, R.S.
Liquid Waste Program Coordinator
Administration 456-3630 Personal Health 456-3613 Environmental Health 4566040
Clinic 4563640 Vrol Statistic 456-3670 Lobororory 456-3667
c: County Bldg. Codes li' An Equal Opportunity Employer
ld
SpolTne County
Health District
West 1101 College Avenue Spokane, Washington 99201
June 25, 1986
Ms. Anna M. Smith
S. 202 Union
Spokane, WA 99206
Re: Sewage System at S. 202 Union
Dear Ms. Smith:
A follow-up inspection was conducted by our office on June 24, 1986,
to determine the property status. From the observations made by the
inspector that day, it has been determined the mobile home is occupied.
In a letter dated April 22, 1986, you were informed that the mobile
home must be connected to an approved on-site sewage system prior to
occupancy. Therefore, you are hereby notified to replace the existing
system by July 15, 1986. If the deadline is not met, it will be
necessary to refer the matter to the County Prosecutor.
Please feel free to contact our office at 456-6040 if you have any
questions.
Sincerely,
ENVIRONMENTAL HEALTH DIVISION
141.1
Altekt/
Pamela Heeter, R.S.
Liquid Waste Program Coordinator
c:hn Anicetti
om Davis, County Building Codes
bls
Administration 456-3630 Personal Health 456-3613 Environmental Health 456-6040
Clinic 456-3640 Vital Statistics 456-3670 Laboratory 456-3667
An Equal Opportunity Employer