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1984, 05-03 Permit: 00000685 Pool SIGNATURE OF APPLICATIONg3/r9. OWNER OR AGENT r DATE JOB ADDRESS: SEQ. #: DATE: PRoJ.:6 V,5 1112 -3I sr OWNER: Tlz1 f t err z �IZP�,1� ' . ADDRESS: CITY: ST: ZIP: APPLICANT: CONTRACTOR: CuuTbrvi i�ooV CITY: L PV L ST: uuA + ZIP: (/./A (iVelf PH: ✓1 LICENSE*: PH 't2& -5279 ct Pit 14,1 PP ARCH/ENGINEER: ADDRESS: CITY: ST: ZIP: PARCEL#: CENSUS TR: INSPECTOR: 2E7 514-1803 PLAT#: LOT&BLOCK FINAL L 3 (/.B/`y BIO a -YJ�{�/rJ l� PLAT NAME: S K Y Q 1}///�,A. �� ZONE#: ZONE FSBS-I S-2 RSB MOO S 12' (off USE OF PERMI I FEES: .PAID BY: CA CK /SCG NC l� 7� 3Cf,I p00 3 41 JOB ADDRESS: COUNTER APP' PLANS EXAM: DATTE: a 0 0 w 0 LL LL 0 0 .5 -0'3 -A84 398, 3z * 11 A 'AI...--1.-1..""4tt'*-;• : \ . ' • ,. . wf 'I.N.:. .11* "‘"'• . . • • , -- - ........ . """n• A'4. 4 .Z'ep494..1.:"2t .• 4',.. APPs,. ..'s .if-,''II / • • • KAN E.tcoUNTY HEALTH DEPARTMENT : P 4 Z •••, _4? .,-, 4 ' . ...:;;:l ..1:::(.C.4 4.14-I'T -• E.0.PLOEGER.V.D. ,11.P.11. , Health Officer -. . ),-, -L..--t_-_,;,„ ••>-, t:;,..-::,Alt".:-e k . '11.4.114 ' '''''.... - Division of Sanitationyllcir p tiffrive'7- --t, ..t,,, - „vv.—. -,, t N. ...f'I/b s ..$,k‘.• . 14• 810 ne.Jefferson Street 1 . ., .. : -.,..: 4,•i;. I( .`.., :. Q i Al : Spokane, Washington 99201 DA MP - / .e. •. . ,A,„,E rt•vz,-,v, ,r-1.1. A .14 • li N9 A ' 0 3 0 2 4 Mil I T NO. . i ••-= -.-- ' ... . . -..* .ryr.b. • • f- , "-•:•• ••• . '• •APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES .. . . Name %,„.42/11A-61.444-) 6,.n......i. a Address 7.2O t4honeNo64 -1---- f/ce0/ Address of Proposed Site , eft .1/7/.2_ _- /7 a4A,,b,acTBed dr Type of Use 4/2-1-4(...411...e2fre---C Is basement for building planned? Number of Bedroom tiding Capacity Camp Capacity her Water Supply 60 60 (City, W,11, Spring). Dryweil 4, V-.....e —....., Septic tank capacity 4.9 3 gals. Style of tank_ . li Length of disposal field • IFU Absorption Pits ......................w (1) Show r•lative loeatioa ef: Proposed house. septic tank. / disposal field. 'ma. gime and other out buildings. / _ I ' _ • 7etai As ' ! • Ill II) ek. a•t. .( any hitavy. allpievt,• iglitys* area or any • otter leporta*t topogellitAlet at M . ti it ta,.. . 2*arape7 paraile/ 4 4' Iltc4 _ . VIIIM. —„, Nof • . _ , us11, AV /Ls' - eel —Or . li / to ,se to t, ' 0 , 10 c. 1 2 • reta / IP , ( r I ID ____ _frii.-----.:-.1/.1------------- ; (_.- --- -- gA-----I-- 71 1 • 1/li -- i —\ • . . • / - 'i 0 f Installer all—,,,,.. . a , 1 ,,,,,o,it, 0 (e -25 Or" 1 ,, • Final Inspection Dat irt .. ,,,,, i • . ‘ Remarks• 4... • . ..-ai .. ... 4 . i / ' '.. 4/ #. • --------1 . '• . ' -,.'...•.e%:'44'10.'-' • 4'est:.yr •t.., ,. -,,,,4 ,... i 4.y:„,t,,..„, .10.W.4-. ...7.',.... t,^ 'tn-...• Itei -li-i-VA..t - •- •-- t. •• • d...t • *--._ .7. '.,,.. > ' u .6r..r., A. . .5/;9/67 .'--r:trP,,:••070'.4:1VP-:*,: ..;!;?ft•:,‘-r.,2, ".;•-• '-'0 --••• • •• " • • ' ,, ;.:,-.77:14. -‘,..,.‘ i , t '• - - ..,.., A - .. •• . . '''''''.. -4.. " - St.4....i.,'i-,k-', . i -." .1. •f". -$ . -='!•:.-4- ...zttar.,Vaar. - ...;-,":4--41"•`'..."- .;'.1.1::: ' le .,- 4. 4 *- l:, ;",-.31.- ,- ..,:. .i .1 .. 41.---•;;:-. ;.1:.-' ';' ---.1,`"1,... ., id:, .ii .... ..-, .• - . ..- _.1 .- iiggio,..: b"..•4410 .. 11•41MOVM/MiliPlk.07,2,imp, A,•P ipiplip-- ,...„ , ••:. . _,,.,,, , •. .:, .1,.... . rilvkretP"'. • /mill. .,•f r/ . :,., ..7 • - *NV :to: '',.''. -. f.3 •," .•:, ..";*40 -.......M...`27-. ..:74.--,,...e',cr.':'1 '''''';'...e.«,•.;%.;',..T-1,4efoR- ' •--';:_4"-- .-'• ' . .. ••• _..-..1....' _ ..,"— - .• N ' -. ::..:• ‘ii•:: 13',.t..4•=„'" - '',,---'49-4.„ -4,-.--il:- :;',,i,„4-,...,„, .- ,...:-4:.,r.t_,,- • . x‘ '-'---, ,t„...f.-4-• .f.p. . , ,.;-..,., -4.,,.. 44- -- ,7. -* - ...Z ,.. -71 ' 4 I .'• -...--7" "::'Z''rt. ''''- ' '' L'''' j.'"p?..-- •. • - '-1 • . ..;..`•• Itt...4“ -,,,. .' _4..::, l'!.. V'a 1 tf .'''.',...tte. '.... ..-'1,10.• '. "' -.... 4'.""" - 4t`. ,•4f..-, ''-"W' . ;2-4,- •°%.. .. - MgrrolorrPri:alier."` •••"- ,,,,.. '-'71-1-..-* '''t ' 7..*-..- "t,. I-.."' ' '' ' ....... , ' ' 4. ** • • 24 * ,- -t4,- -..4..•-•-:---,-' . ,-, ,....1., .4...4.-;_iii,_ 1-1.• •. " .- ::,..' :. • ' , '' , - - .'