1989, 12-19 Permit App: 89005264 (
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- DEC-19-'S9 12:24 1 D:ELDG AND SAFETY-SPO TEL N0:509-456-4703 #3214 P01
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DEC-19-1989 11:57 FROM TOWN & COUNTR'rEL, ' TO 4564703 P.02
Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Dision of Public Works
INFORMATION WORIOMEET
PARCEL NUNDERs. 2254 - I66 )
STREET ADDRESS: E. 13722 12 th
CI 'Y/$' ATE/SIP: SPOKANE WA. 99216 -
SUBDIVISION:
Bl OCK: LOT: ZONE: AcZ I DISTRICT: ]:-=
IAT AREA: F/A: WI ,'H: 8 0 ' DEPTH:- R/W:4/6
# OF BUILDINGS: 3 4 OP DWELLINGS: 1 WATER DISTRICT::.uERA __
OWNER: CHUCK M. KING PHONE: 509 - 922 -7272
MAILING ADDRESS: SAME
CITY/STATE/ZIP:
CONTACT: DON STALEY PHONE: 549 - 535 -- 9016
SETBACKS: - FRONT: 234 ' LEFT: 3 ' RIGHT: 4 7 ' REAR:
PERMIT USE: SHOP/ GARAGE
********* titer******************* **********************kir********fie*#*******+kir
BUILDING INFORMATION
cONTRACTOR LICENSE NUMBER: #TOWNCBII23C6
CONTRACTOR: TOWN & COUNTRY BUILDERS INC. PHONE: 509 - 535 - 9 016
MAILING ADDRESS: E. 5 918 TRENT SPOKANE Wa, 99212
ARCHITECT/ENGINEER: SAME PHONE: -
MAILING ADDRESS:
NEW:, X REMODEL: - ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:, 0 . BUILDING SGT: STORIES:
BUILDING DIMENSIONS: 30 ' ,
I 40 � (WIDTH X DEPTH) SQ. F�. : 120 Q..
REQUIRED PARKING: 4 HANDICAP: SEWER (Y/N) :____ HYDRANT: i'
DEC-19-1989 11:58' FROM TOWN & COUNTRY BLDRS TT 4564703 P.04
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DEC-19-1989 11:53 FROM TOWN a COUNTRY ELDRS • TO 4564703 P 05
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JOHN A. PINNER & ASSOCIATES
Engineering & Geology
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BEWNGHAM, WASHINGTON 98225
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DEC-19-1989 12:02 FROM TOWN & COUNTRY BLDRS . TO 4564703 P.11
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SEWAGE SYSTEM VERIFICATION
C The Spokane County Health District's Environmental Health Division will review
your project to insure compliance with the regulations for on-site sewage systems.
The sizing and workability of the sewage disposal system will also be reviewed.
The Enviornmental Health Division office does not have any information on file
showing where your system is located and the size of the system, therefore,
please fill out the following information.
PROJECT ADDRESS: (IF NO STREET ADDRESS IS AVAILABLE, GIVE THE PARCEL NUMBER,
ROAD, OR LEGAL DESCRIPTION, INCLUDING LOT AND BLOCK AND SUBDIVISION.)
CHUCK M. KING E. 13722 12 th SPOKANE WA. 99216 509-922-7272
NAME OF OWNER OF PROPERTY: ADDRESS: PHONE:
SAME _.
NAME OF TENANT/LEASEE/OCCUPANT (IF APPLICABLE) : ADDRESS: HONE
EXISTTNG USE OF PROPERTY: A RESIDENTIAL D MULTI-F,AXILY D COMMERCIAL-D OTHER
IF COt,MM EC AL, WHAT IS TUE NAME OF THE BUSINESS:
7 E :IAL, APPROXIMATE METERED WATER CONSUMPTION PER DAY GALLONS
TYPE 01; 4ASTEWATER FIXTURES CONNECTED TO SEWAGE SYSTEM (INDICATE NUMBER OF EACH) :
T TOILETS 1 LAUNDRY SPRINKLER SYSTEM
1 --SHOWERS CARWASH HOT TUB/WHIRLPOOL/JACUZZI
,INKS DISHWASHER SWIMMING POOL
AGE OF HOUSE/STRUCTURE19 52 37 YEARS AGE OF SYSTEM
TYPE OF WASTEWATER DISPOSAL SYSTEM(S) SERVING THIS PROPERTY: (SEPTIC TANK,
FIELD, LEACHBED, CESSPOOL, DRY WELL, ETC.)
SEPTIC TANK & DRAIN FIELD
NUMBER OF BEDROOMS (IF RESIDENTIAL) 2 MULTI-FAMILY (DESCRIBE)
HAS EXISTING WASTEWATER SYSTEM BEEN RECONSTRUCTED OR REPAIRED?
0 YES 13 NO WHEN REASON
HAS SEPTIC TANK BEEN PUMPED?? CD YES )1 NO IF YES, WHEN REASON-----
LOCATION OF THE SYSTEM: (PLEASE MAKE A DRAWING SHOWING LOT, STRUCTURES, TANK,
DRAINFIELD, DRY WELLS/OTHER, WELLS, WATERLINES, AND THE LOCATION/DIMENSIONS OF
EACH. INCLUDE DIRECTION NORTH AND ANY DRIVEWAYS OR PARKING AREAS. ATTACH THE
DRAWING TO THIS INFORMATION SHEET AND MAIL OR BRING TO ENVIRONMENTAL HEALTH,
WEST 1101 COLLEGE, SPOKANE, WASHINGTON 9920 .-2095. PHONE #(509) 456-6040.)
THIS INFORMATIO IS PROVIDED TO THE BEST OF MY KNOWLEDGE.
4111 SIGNED I - 410 DATE /71- `/
DEC-19-1989 12:03 FROM TOWN COUNTRY ELL:RS TO 4564703 F. 12
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234 HOUSE
SHED
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E. 13722 12 th SPOKANE WA. 99216
THE EAST 80 FEET OF THE NEST HALF OF TRACT 174, VERAI
ACCORDINGTO THE PLAT RECORDED IN VOLUME SO" OF PLATS,
PAGE 38, IN SPOKANE COUNTY, WASHINGTON