1982, 07-12 Permit: 82A-7876 PoolPLAN NI '4ER
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
1001. i/eI VAir-
L�OT BLOCK SUBDIVISION t
2.- 2�3 �/•� r A 1c
14 j. =it
9 �NER
3 AV td
ADDRESS /
AtIoc 1d RCj,, 4 %jW
CONTRACTOR
4. tkds v 0 : Q'nt-f
ADDRESS.
11 itl q, -51./ g -51.. L P
.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
E NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
ZI P
PHONE
ZIP
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL. ❑ MVE.
O M.H. ,POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
East 2d'
West
Size of Parcel
cfC x i3c..5
ItConst. I Occupancy
1.1
Y'2
DESCRIBE WORK
9.
VALUATION
SOURCE
OF
UTILITIES
GAS
LECTRIC
WATER
Valuation
,}c3
Main Floor
Upper Floors
Area of Decks
No. Baths
Zone Classification
Sprinklered
❑Yes ENo ❑ Req'd.
Building Area in Sq. Ft.
i‘563‹
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Storage
Unfin. Basement
No. Rooms
Req'd.
Enum. Dist. Location (Area)
SEWER
Ownership
Public ❑ Private
USE CODE
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 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 SPECIAL CONDITIONS:
NAME DATE
En `He It d
iletii
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu ng Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home` r
Other (Specify) 25`0°
TOTAL
$ OS -W
PERMIT f. VIBER
i8'/('
02* *2500
*25,006
A *0.00 8
56612
07-02-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01,H12
DATE ISSUED
587.6z` .25.0'02
PERMIT NO. TOTAL
Gil G rnPv
�J
Z
oc1
1
qnIAI��,