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