1982, 03-02 Permit: 82A-1409 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
1. N dfs26 e -
LOT
2. 4
BLO
1
SUBDIVISION
-RE)
LEGAL DESCRIPTION -- SEE ATTACHED
OWNER
3. AL4AVv 5:rn �ntv
ADDRESS
�v.z.sce
CONTRACTOR
4.
PHONE
PARCEL NUMBER/S
C5'i�S4 - CnOG
ZIP
Actual Set Backs in Feet
North (00 'South
PHONE
East
Sprinklered
❑Yes ❑No ❑ Req'd.
!West
Size of Parcel Zone Classification
3 x'3)CS !kms
ADDRESS
ine
ZIP
_ase Const.
.�a v
Occupancy
DESIGNER
5. ADDRESS
PHONE
Val tion
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
RAJ NEW 0 ALT.
❑ BLD. 0 PLMB.
❑ AD'N. ❑ RPL. 0 MVE.
❑ MECH. 0 M.H. Cal POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd,
DESCRIBE WORK
8. SC.L.%4 lysyl'\ r iV C
VALUATION
Enum. Dist.
1 Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public CI Private
USE CODE
I hereby certify that i have read and examined.this application and have read the "NOTICE" provisionsincl
on reverse side, and know the same to be true and correct. Ail provisions of Eaves and ordinances governing this
type of work veil( be complied with whether specified herein or not, The °ranting of a permit does not presume
to gine 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 INSPECTIONSE�
DATE OF APPLICRI`IC?I� SIGNATURE d1= RPPLlC.4i�,
SPECIAL APPROVALS
Nf_ME DATE
Env /bi ea It h
Aie_et., 3/2
Tanning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checrclist
ding Technician
SPECIAL CONDITIONS:
PERIVIIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other {Specif'y}2'c5?'
TOTAL $ 2S
PERMIT NUMBER
4
i U.8
-25.x0
*w5.J
*25.0L Q
*v', 'v0 S
03-024--82
! Tc.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I:8 2' Q 9 .z.
DATE ISSUED
*2`50 4 �+-
PERMIT NO, TOTAL
/2/1/,O1ii
cNI
l
'Too U 1V CO
I--
/1-10 (A €
300
SOT . 4_P P�
c,-; z (Vs -5-9-