HomeMy WebLinkAbout2003, 06-16 Permit: BD-03-616 DemolitionDEMOLITION PERMIT APPLICATION
Permit No. 03- lc
Address of property X32 / C v E*"
Tax lot Number
Owners Name Tick b3eC.X-4
Address /22/'R £7
Method of destruction L. Ala
Phone 92 SS2
Will a trash container be required on the property ? yes (�no-
* Is water available to keep the dust at a minimum ? _[eyes no
* Is an asphalt affidavit required ? yes._ -no-
* Will sewer line be capped? _ yes _ no OR septic tank be removed or
destroyed? _ yes The Health District must be notified )
* Is there a well or sink hole on the property ?_ yes The Health District must
be notified if the well is to be decommissioned )
* Is there any underground flammable liquid tanks to be removed ? _ yes _e --
(Removable of any underground flammable liquid storage tanks must be reported to the
Dept. of Ecology, PV -11, Olympia, WA 98504-8711 with a copy of this application and
set of plans) Approval from D. O. E. must be obtained before permt can - be issued.
* Is there any ASBESTOS that needs removal ? _ yes Lo (The removal of
asbestos is to be cleared by the Spokane County Air Pollution Authority )
* Police and Building Department must be notified if well is capped or filled. If not filled,
a map of the property showing the well is to be supplied to the Building Department.
*A $500. cash deposit or surety bond is supplied for cleanup. _ yes nv�o
Building Permit Fee $35 for SFR + $10.ea for underground tanks or septic + $20. Gar.
$70 for Com. + costs of other permits
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Owner or agents name � G ^Date—
Received by Building Department Date
Routed to: Planning / Zoning Water / Sewer Health
Date Police Agency Fire Dept. Pollution
Cash deposit:
yes no OR bond _ yes _ no
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