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1982, 07-13 Permit: 82A-5939 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. S. 2'7!I{- c14U-iL COURT LEGAL DESCRIPTION - SEE ATTACHED LOT Z 5 OWNER VERA 5M IT14 3. 4. BLOCK SUBDIVISION 7 magi- ANE. au D ADDrnop4 PHONE X2f-1378 PARCEL NUMBER/S 25S'13 .0705 i ADDRESS S 274 cNF-RYL GOLIRT VER, E - CONTRACTOR CAS -MN 1/4, POOLS ADDRESS Nam PINES I!/9 N. DESIGNER K SSS coNTRACTDP-s / coMT 5. ADDRESS E 17 +/a Monr-r<zn$$Zry j2DM CHANGE OF USE FROM O 6. ZIP 99a,t, Actual Set Backs in Feet North 5 (South 30 East (West /0 PHONE g28-Jrxn Size of Parcel 1.210' 1C/3o 'PPP& ZIP 492a� Type Const. Occupancy Zone Classification SrNGI QA441(4 RE -S. Sprinklered ❑Yes ❑No 0 Req'd. PHONE "2.2--722.1 ZIP 940!6 Valyption 00 '500 irjc Main Floor I Upper Floors Building Area In Sq. Ft. Garage Area Storage Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK E - EW 0 ALT. ❑ BLD. 0 PLMB. ❑ AD'N. O MECH. O RPL. ❑ M.H. 0 MM V E. P rOOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK a. 601111nA4r/Jq Faso L SOURCE OF 9. UTILITIES VALUATION Pool.-. Enum. Dist. I Location (Area) GAS ELECTRIC WATER SEWER Ownership Public 0 Private 0 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 /3�v DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env- Health Joe P/PHo 7/l3f82 c' Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: 1 -1 -OLD Tog. LCctf43% • L PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home r O Other (Specify) 25 XX 8 TOTAL $ �i % VA - PERMIT h+4M66n• dzA-5939 02* *2500 - *25.00 1-6 *2500 A *000 0 59382 .0.7-13.82 '2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Oil ',IP) -8,2, DATE ISSUED 5.93:90 425.0010 PERMIT NO. TOTAL • SPOKANE, WASHINGTON EAST 4115 TRENT AVENUE Box 2646 Terminal Annex 99220 1509) 535-1611 OSBURN, IDAHO KALISPELL MONTANA POST OFFICE BOX W • BJBBB 1015 WEST CENTER STREET • 58801 rxrr11c1.110111 140617655415 t'l1 To /---I 3$ ---7y 3-'�- - -,•`' Ga. 1.1 11, 1 is,1 s// )I Iv- -I'1- —+— rip: 11 IA 1 I I 8