2012, 03-15 Permit App: BLD-2012-0189 Demois'L. ) - - O! cil
Community Development Department (Staff Use Only)
Permit Center
SpMCITY OF 11703 East Sprague Avenue, Suite B-3 PERMIT NUMBER:
ane Spokane Valley, WA 99206
�lle� Tel: (509) 688-0036 PERMIT FEE:
' Fax: (509) 688-0037
oermitcenterj sookanevalley.ora
DEMOLITION PERMIT APPLICATION
PROJECT ADDRESS: 15720 E. 4th Ave., Spokane Valley, WA 99037
ASSESSORS PARCEL NO.: 45242.9035
BUILDING OWNER NAME: Dennis & Melissa Crapo
MAILING ADDRESS: 2602 N. Sullivan Rd.
CIn: Spokane Valley STATE: WA zip: 99216
CONTACT PERSON NAME: Dennis Crapo/Tom Riley
PHONE: 509-924-8964 FAX: 509-926-8094 CELL: 509-217-5644
CONTRACTOR NAME: Diamond Rock Construction
MAILING ADDRESS: 2602 N. Sullivan Rd.
CITY: Spokane Valley STATE: WAZIP: 99216
PHONE: 509-924-8964 FAX: 509-926-8094 CELL: 509-217-5644
CONTRACTOR LICENSE No.: DIAMORC0320Q EXPIRES: 8/12/12 CITY BUSINESS LICENSE NO.:
PROJECT DESCRIPTION (Please Provide Site Sketch)
0 Site Plan Provided ❑■ Notice of Intent # Z C) (
❑ Spokane County Utilities has approved the disconnection
Describe the scope of work in detail
Demo house & outbuildings
70�-L- U043
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction or on a dwelling, the dwelling is/will
be served by potable water. 2) Ownership of this City of Spokane Valley permit inure to the property owner. 3) The signatory is the property
owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of
Spokane Valley Development code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) The City of
Spokane Valley permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional
information may be required to be submitted and subsequently approved before this application can be processed.
Signature Date: 3 • 1 �� IZ
Method of payment: ❑ Cash ❑ Check ❑Visa ❑ Mastercard
Bankcard #: EXP: VIN#:
Authorized Sianature:
Effective October 28, 2007 Page 1 of 1
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Demolition Permit App
10.28.07.doc
Jon Hester
From:
Mike Turbak
Sent:
Monday, March 19, 2012 3:41 PM
To:
Jon Hester
Subject:
FW: Sepic System Abandonment
Hey Jon,
Here's the email from SRHD (below) ...
Mike Turbak
From: Copley, Don [mailto:DCopley(a)spokanecounty ora]
Sent: Monday, March 19, 2012 11:03 AM
To: Mike Turbak
Subject: Sepic System Abandonment
Hi Mike,
DiamondRock Construction has contacted the Health District regarding septic system abandonment for five septic
systems located on 4th
15622 E. 4th
15706 E. 4th
15714 E. 4th
15720 E. 4th
15808 E. 4th
DiamondRock Construction was informed about the Health District Regulations for Septic Tank Abandonment
Thank You
Don Copley
Spokane Regional Health District
1101 W College Ave, Ste 402
Spokane, WA 99201
phone: 509-324-1584
www.SRHD.org
Always working for a safer and healthier community.
onday, Mar 19, 2012 03:59 PM