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1981, 08-27 Permit: 81A-8646 Pool
(PLAN 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 ADDESS 4 - G A -7- LEGAL DESCRIPTION - SEE ATTACHED -r5Tj BLOCK SUBDIVISION . II PARCEL NUMBER/S 2. Gi % 6 o✓ti `t"U � � ",r'� {JI qct �+ , / -7 ?_-___J OWNER PHONE 'j /" Or 5 Y -- 1S r C.JN,( �OOI 3. (VVI J - Z1 No' X00 I WW Ia01 N • Or 5`�2 '7 ADDRESS & v ZIP —�Q� Actual Set Backs Feet • Z �✓� G/? North So th E t W t 4. ADDRESS DESIGNER 5. ADDRESS u as es PHONE Size of Parcel Zone Classification 4:310 _K 614S mm I,� -,,!0- ZIP Ir onst. IOccupancy Sprinklered • ( ❑Yes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement s. TYPENo. Baths No. Stories No. Rooms No. of Dwellings NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE, 7 WORK El BLD. ❑ PLMB. ❑ MECH. ElM.H. ©/OOL ❑OTHER CERTIFICATE Req'd. Recd. Not R d. of EXEMPTION DESCRIB WORK Enum. Dist. Location (Area) 8 �` FEES COLLECTED VALUATlI�ON SOURCE GAS ELECTRIC WATER - SEWER Ownership SE CODE 9. I I DV UTILITIEOF S {C/ Public ❑ Private Single $ 1 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 Building 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 Plumbing DATE OF APPLICATION a SIGNATURE OF APPLICAN Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE V1 �/� �jv +�pc�p"� �� v,n ,^��1 Plan Check Env. Health �ilb. (' �� +' r/ I"'✓ v vw�V-'i"� 7' �' `7 ©2 T� �I I✓I/I I/ hj/ jtv- ' SEPA Planning ` Co. Engineer Utilities Plans Examiner SEPA Checklist ing Techni PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Mobile Home Other (Specify) OV TOTAL $ I - 064-i�q i PER IT RIUMBER- Uc* *2500 2c nnV +— x U UJ *25,00 A, V 1, 0,? -27-81 11 6,479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 217 81, 8 6 ' 6 z DATE ISSUED PERMIT NO. *25pp6.; - TOTAL c L 1 No- Lcyci l)escirl 071: LcOns c r 0 0m p o�tu wtoo Ff• of N901q.C%fir r4uri N 90 f� off" 6 S I&Q 9 7 ,� 13 17 X C tti` l aQ �t Sca/e: I„ ! 20�'f