1979, 08-14 Permit: 79-2153 Pool InstallationJi
PLAN r.; UMBER
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
A �� a5
LOT
BLOC SUB IVISIO //
,l e wt (2,A ' JI � I�r p6 r
O(y
IC
RESt J�
sl L) 4 �'�cr r
LO
3.
4.
N.E R
CO TR TO.R
RES
DESIGNER
0o is
LEGAL DESCRIPTION — SEE ATTACHED
P CLIC" it
PHONE
PARCEL NUMBER /S
2G 542- 7701
ZIP
Required Set Backs in Feet p�
North ' lSoutb ,1 East Q/ 'West
PHONE
8263
Size of ParcdI Zone Classification
EMI L-r
Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building A
ea
in
Sq. Ft.
.l✓
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area 1 Storage
CHANGE OF USE FROM
6.
TO
Split Ent
y
Split Level
Rancher
TYPE
7. OF
WORK
[P NEW ❑ ALT.
❑ PLMB.
❑ BLD.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
IMPOOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DE . IBEyvORK� �^
8. 6C9 r
V. UATION
9.
00D, a)
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other stet ,jIorl' la, ?.ulating construct • ,or the
performance 9f construction.
DATE
SIGNATUR
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
NkIL Td c4
DATE + ' OFFI
APPR:'rI FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
00
Other (Specify)/ /
roof,
TOTAL $
DATE
PERMIT NUMBER
1��
02* *39.00
*39,00 N
*39.006
A *Q00 8
16328
08- 07-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COME A NWT.
0 —ii —7 215,35 *39.000
DATE REMARKS
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY
oe -ca -�a
•0.0
*2600
*260D N
*3d
i; it It OXFC)41 1
:3(0'
etc
2 I
,
.3-0/se
J