1983, 04-20 Permit: 83A-3127 PoolPARCEL NO. ZCp - .P
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. 14at2-CL
LOT 1 BLOCK
2. 1 S
OWNER
3. Vo►.) ` 14.4D
MAILING ADDRESS
l`1012-E-
.CONTRACTOR
4
•
U1t.A'
ADDRESS
SUBDIVISION
Ei4t i --Y JAvJn9
��aN�zt=
PHONE
-72(5
LICENSE EXPIRES
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
PHONE
ZIP
ZIP
CtSZc.;�
PHONE
ZIP
TO
TYPE Q'NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ M E.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. OOL
DESCRIBE WORK
8.
vasZ-.-
VALUATION
9. `Z Sc?
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE E
SEWAGE
SEPTIC ❑
SEWER ❑
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North South
Size of Parcel
Il L
Type Const, _
Main Floor
,r—
Cover Deck
No. Baths
East
West
Zone Classification
Residential E
Commercial E
Spr'nklered
❑Yes ❑No Req 'd.
Remodeled Valuation
,v -
Garage/Storage
No. Floors
Certif1. of Exempt.
or Variance
Total Bldg. Floor Area
Greenhouse
Fin. Basement
No. Fin. Rooms
Required
Received
Yes CI Noe -
Yes❑ No fl
Shorelines/Flood Hazard
Yes NotApp)ic. ❑
Ownership
Public ❑ Private
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 au-
thority 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
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
jcd
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
411
DATE
APPLICATION L J2
SPEC AL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL
$ Zc
PERMIT NUMBER
*2500
*25.006
*000
31262
04-20-83
6479,
1
cii G rnav
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE 64E142 0 8 3
PERMIT NOS 2.7 5
*25.00TOT-AL
29'
16'
NBw ✓tLytN �U �'
12 -
I%
FiPS1DYENC.
LEGEND
•—r.— POOL SUCTION_ff. of_
•"— POOL RETURNS_ ff. of.
—•••— SWEEP LINE ft of
--- FILL LINE ft ol_
—•-0/ SPA SUCTION ft of
—4/4.-0. SPA RETURN It. of
--- GAS LINE.__
--- ELECTRIC LINEft.
OGAS METER
y
'K ELECT. PANEL
® GATE VALVES
11If
__ LIGHT
❑LIGHT JUNCTION
800
t /405E 81B
\_J SKIMMER
S7
POOL SETBACKS FROM:
HOUSE
REAR PROPERTY LINE
SIDE PROPERTY LINE
EQUIP. SETBACKS FROM:
HOUSE
REAR PROPERTY LINE
SIDE PROPERTY LINE_ _
REQUIRED FENCE HEIGHT_. _
{
BUYER:
TO DETERMINE APPROXIMATE ELEVATION
OF POOL ON DAY OF EXCAVATION.
BUYER:
POOL AREA TO 8E FENCED, PER COUNTY
OR CITY ORDINANCE GATES TO 8E SELF
CLOSING AND SELF LATCHING
BUYER:
WET DOWN CONCRETE SHELL AT LEAST
TWICE DAILY FOR 7 DAYS.
DO NOT TURN ON POOL LIGHT WHEN POOL
IS EMPTY
DO NOT USE RUBBER HOSE WHEN FILLING
POOL AS IT WILL MARK PLASTER
NO
)14i
20'
1.1141
E,Mor2.
'
556"