1997, 04-18 Permit T97-646 Sewage Disposal System ReviewOn-site Sewage Disposal System Informational Review
NOTICE
The review by the various departments as provided for herein is solely for the purpose of advising the Spokane County Health
District of the subject property's compliance with various codes and regulations. The issuance of a permit by the Sookane County Health
District for the installation of an on-site sewage disposal system is not to be construed as a vesting of a right by the owner /
representative to ob • in it kililding nsnnit for this mrooerly. At the time that a building permit is applied for the subject property must
comply with all applicable federal, state or local laws, ordinances or regulations with the exception of those relating to the issuance of a
permit for the on-site sewage disposal system by the Spokane Comity Health District, pursuant to this forth. Accordingly, although as of
the date of this document the subject property may meet certain state or local laws, ordinances or regulations, in the event such items
change between the date of this document and application for a building permit, the owner / representative will be responsible for
meeting such regulations in on the date of the application for the building permit.
reffect
Street Address /
: >L I C1 22-0
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Parcel Number: /�
Legal Dattiplion:
Property owner: h !� 'IL,
Mailing Address./)%gca7
Signature
,'✓ Date.
Y
PLANNING DEPARTMENT
dicatorylanguage within plat
Subject property is legally divided
Certificate of exemption required
V4051se authorized under the Zoning Code
ky_ Setbacks meet Zoning Codes requirements
��✓lµ'""- _ Shorelines permit required
Variance required for the following reason:
_Other:
Reviewed by: d Date:
DIVISION OF ENGINEERING
Site drainage review required
Maintained county road
Approach pemiil required
FIL'
Flood zone
/ Variance requirements
N Other
Reviewed by: Date: /fl® -_
DIVISION OF BUILDINGS TRANSACTION N:
The Division of Buildin s advised the property owner / representative that an in depth review may be necessary when a formal
building permit appli tion is submitted.
Reviewed by: e Dater
RECEIPT SUMM Y
TRANSACTION NUMBER: T9700646 DATE: 04/18/97
APPLICANT: RONALD & JERRENE RAM PHONE=
ADDRESS: PO BOX 10
OTIS ORHCARDS WA 99027
CONTACT NAME: JERRENE RAMM PHONE -
TRANSACTION: ON-SITE SEPTIC REVIEW FORM, CERT OF EXEMPTION
DOCUMENT ID: 1) CE -123-97 2) 3)
4) 5) 6)
COMMENTS: 55082.0127 - E. 19220 EUCLID
FEE & PAYMENT SUMMARY
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
SEPTIC REVIEW FORM 1 45.00
CE: PRE -1978 1 58.00
------------
TOTAL DUE = 103.00
TOTAL PAID= 103.00
------------
BALANCE OWING= 00
PAYMENT DATE RECEIPT# CHECK# PAYMENT AMOUNT
04/18/97 00003007 8824 103.00
PROCESSED BY: CAROL FRAZIER
PRINTED BY: WENDEL, GLORIA
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