1982, 03-09 Permit: 82A-1574 Swimming PoolPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
. .,� ,! 17/9 /. /tee /7
LOT BLOCK SUBDIVISION
2. 7
LEGAL DESCRIPTION - SEE ATTACHED
Ai6),AN,De,i'. Sk j,t)(S. fc
PARCEL NUMBER /S ..7 •-6 4/3
OWNER
3. /1).4 /7 ,/gLer;/rNLLL
PHONE
9.2/1
ADDRESS )
N- g s-7 r/ t/ c /7 �>�o'
ZIP
Actual Set Backs in Feet
North 0 'South �Z East 70 'West
4.
CONTRACTOR
ADDRES'S
PHONE
Size of Parcel
Zone Classification
k
lr - 7 /8 De' e." /e . r—
ZIP
9'/` .2c?''
Type Const.
Occupancy Sprinklered
�.�..
Oyes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
.51/160
PHONE
Val u0. on
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL. LI MVE.
❑ M.H. Itd'$OO L
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
Not Req'd.
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
DESCRIBE WORK
8.
VALUATION
9. y,5 60
t L!/C7 4 Jet i /77 / f, F, 7
Enum. Dist. I Location (Area)
SOURCE
OF
UTILITIES
GAS
v
ELECTRIC
WA-rE
SEWER
Ownership
Public ❑ Private
USE CODE
1 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 state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
3`r
Plans Examine
SEPA Checklist
u g Technician
rtV��
SPECIAL CONDITIONS:
Epp j• T.. f 'e I i _
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) 2J• 0
TOTAL $ x=5.4
PERMIT N1 I BE:./
02* *2500
* 2500
* 25006
A. *000
147,28
03 -04 -82
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,5 0 g' -'8 2.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
157.42 *25,00 °T-2