1968, 08-05 Permit A03734 Sewage Disposal.POKANE COUNTY HEALTH DEPARTMENT
Water Supply
Septic tank capacity
E.O.PLOEGER,M.D. ,M.P.H. , Health Officer.
Division of Sanitation
N. 810 Jefferson Street
Spokane, Washington 99201 DATF
NA A 03734
APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES
Name lam' ( �'�C dress
Address of Proposed Site / 7 '
Type of Us er`7Y214_, vv
�-�� '� -� Ts basement
Number of Bedr s ?/ Building Capacity
Camp Capacity Other
0/1'tC.t-C� �2.n (r; t., Well, Spring) • Drywe 11 /}��(/
4,4.2 No J J#9 i -39/7
for building•planned?
gals. Style of tank
Length of disposal field_45-71
Absorption Pits Teach Bed
a
(1) Show relative location of: Proposed house. septic tank.
disposal field, well, garage and other out buildings.
12) Make note of any hen
other important topogr
ijilfiL61)
Installer
Final Inspection Date
Remarks:
zs'
+Aater
Sp,'yet,
CONTRACTOR
FORM 366 REY.HEALTM
For Spokane County Health Department
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SPOKANE COUNTY BUILDING CODE DEPARTMENT
Court House, Spokane, Washington
Land Use or Structure Permit
Group I
Owner
Type IV Zone Agricultural
Winton G. Chan4ler
NUMBER H 19 6 5
Property Address Flora, North 1703
Permit for.TrAner as a es ftdenae
Address1• 1625 Flora M, Oreenacres
Pllone4-3987
Architect Address Phone
Contractor Address Of ..No.11th 3..B.OXilibne
Location"B" 1.2544O118.s....Baak ...65.2. 12.725-1w4:...t he...No.rt ..i..o*r. lLAf.. tiszkrVA 2/3 of B1o* 31,.
Qreanacres_.-Irr.__Dist..A........A..frmnt..yard..oi'__atr..le tst...25!,,...a;..aids..yord..a..ot...1foostt..5!---(151 from
flanki.ng__strseta)__and__25' near..yar.ds...arsr;aquired.
Bldg. Zone...' Fire Zone Size of Lot.70.!X6 0 t SewStptiP..te43 k Stories'
✓ Material Metal DimensioBs!X.46I Total Sq. Ft..3$4. Valuation4Z4.5QQ.0
Rooms-l4...&..bath Basement Foundationb1QQIS Chimney Fireplace Heating System_ail
• Miscellaneous •1'rol:er airfor C41fl�auatiolq.. of .beadng..eQ{,} ,L',I413.t1:.- I at__b8p 5?y ed...ia,CCA .pgto
• Building -Code ...Recu tromant�e,
w Certificate of Occupancy Issued for Trailer as a residence --must, conform to 811 conditions ltate4 on
Remarks CUB 66-68a__granted by Planning Coi zaiaeiot
THIS PERMIT is granted upon the express conditon that the building or land use for which the permit is issued shall conform in all respects to all the ordinances
of the County of Spokane, regulating the construction, use and occupancy of buildings in Spokane County, and may be revoked at any time upon the violation of any of the
provisions of said ordinances, or failure of plans, as approved, to comply with said ordinances.
In consideration of the issuance of the permit for the erection of signs the grantee must place the said signs where directed by County Officials and shall remove the
said sign at the expiration of the permit unless regularly renewed.
This permit will be good only for commencement of work within six months, and the entire completion thereof within
from this date; after which time thls permit will be void. Authorized by Building Official
BUILDING COPE DEPARTMENT
Permit Expires
Fee Paid $
By ..
INSPECTOR
Date
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SIGNATURE OF
OV��ERURAGENT
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JOB ADDRESS
1703 N FLORA RD
CAREY/ M CHANDLER
........
17U3 N FLORA RD
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CRE[KACR[S WA 99016
,��ANT:
CAREY, M CHANDLER
CONTRACTOR:
CARFY' M CHAND! FR
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1703 N FLORA RD
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CR,EENACRES WA 990�6
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MOBILE HOME PERMI
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No*ber 1 Widh 08 I ght
Misc Desc � SURCHAR�E
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APPL|CAT/ON3— 9DATE
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0011187
DATE:
03/24/86
0001052
mOBILE HOME $51.50
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PLANS EXAM:
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TOTAL FEE $5I.IS0
Serial 41� Fee 50.00
10
Misc Fee 1.5C
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Environmental Health
W. 1101 College
Room 200
DEPARTMENTAL REVIEW
Application #
Approved
Cond.
Approval
Hold
Planning/Zoning
❑ N. 721 Jefferson
Engineers
❑ N. 811 Jefferson
Utilities
❑ N. 811 Jefferson
Plan Review/Fire Prevention
❑ N. 811 Jefferson
Other (SEPA/Critical Material/etc.)
Fast Track/Special Inspection Information
Project Representative
Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said application Is true and correct.
Signature
ifDate0 3 "�4e---ec
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