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1982, 03-29 Permit: 82A-2276 Pool
PLAN 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. II LOT BLbCKr7SUBDIVISION e� 2 v '[ I i2 7 3 Ow AVIA 1 ' �� -fahl s k. ADDRESS CONT� �I RACT R L_c % itiI �'OUV 4. AD RESS 5. DESIGNER HIS rit.' aP�H-�O N j LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK NEW D ALT. ❑ PLMB. ❑ BLD. PHONE ZIP TO ❑ AD'N. ❑ MECH. ❑ RPL. 0 MVE. ❑ M.H. LT POOL ❑ OTHER DESCRIB WORK VALUATION 9.,(0O Id ©o L., SOURCE OF UTILITIES G 5 ELECTRIC WATER SEWER ize of P rcel Zon Classification -71 X. Bo A, LC-- - prinklered ❑Yes ❑No ❑ Req'd. TypptCsrst. Qcpupancy Valuation Main Floor Upper Floors Area of Decks No. Baths Building Area in Sq. Ft. Garage Area Finished Basement No. Stories CERTIFICATE of EXEMPTION Enum. Dist. Ownership Public ❑ Private ®/ Storage Unfin. Basement No. Rooms Location (Area) SE 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 law .nd ordinances governing this type of work will be complied with whether specified herein or not. The granti g f a permit does not presume to give authority to violate or cancel the provisions of any other state or local aw egulat'ng construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT DATE OF APPLICATION SPECIAL APPROVALS NAME DATE Planning "a/ -f Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist hniic SIGNATURE OF APPLICAN SPECIAL CONDITIONS: • PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE No. of Dwellings Rec'd. No Red. FEES COLLECTED Single $ Building Plumbing --i tech. Plan Check SEPA Mobile Home Other (Specify TOTAL $ .017 PERMIT NUMBER 2.74 02* *2500 * 2500 * 2`000' R*000 0 227.32 03-29-82 6.479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. lit t .{ 01 !9-''8;2 DATE ISSUED 227.6 *25.00 PERMIT NO.