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1982, 07-12 Permit: 82A-5879 PoolPLA" ITJMBER' APPLICATION/PERMIT GAS ELECTRIC WATER SPOKANE COUNTY — BUILDING CODES DEPARTMENT Ownership G OF UTILITIES NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES f JOB ADDRESS S 4U\0% LEGAL DESCRIPTION - SEE ATTACHED z ( w Single $ LOT BLOCK on reverse side, and know the same to be true and correct. All provisions of la PARCEL NUMBER/S 2. s 1 \ ISUBT51VISION �oKLcs i �lE IAf� ow�� regulating constr Ion or the OWNER performance of construction. SEE RE ERSE SIDE FOR REQUIRED INSPE IO PHONE 3. -S w. Iv1c��S-f et -a. -:;U3 -3'3'S 4-3 - O1 v5" ADDRESS ZIP llp�'--7ckep Actual Set Backs in Feet i -` o1dr1 Y -d ST 7wE R� �e North South East West 112 CONTRACTOR PHONE Size of Parcel Zone Classification cusYa �, �ooc. A-s-D-�-► +vs)c 12-1 4. ADDRESS Zip/ Type Const. Occupancy Sprinklered Q, 11A�< �1f+z 61C Ar— ��•--Z ❑Yes ❑No ❑ Req'd. DESIGNER PHONE VAuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage c:HANUL OF USE FROM TO Area of Decks Finished Basement Unfin. Basement s. TYPENEW ❑ ALT. ❑ AD' No. Baths No. Stories No. Rooms No. of Dwellings N. 1:1 RPL.❑ MVE. 7, OF ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. LJ POOL 1:1 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8. -;:. w t T-Cka VALUATION1 SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF UTILITIES T �� Public ❑Private ❑ Single $ 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 la nd ordinances governing this type of work will be complied with whether specified herein or not. The gran ng f a permit does resume Building to give authority to violate or cancel the provisions of any other state or Ioca la regulating constr Ion or the performance of construction. SEE RE ERSE SIDE FOR REQUIRED INSPE IO S Plumbing DATE OF APPLICATIONy SIGNATURE OF APPLIC SPECIAL APPROVALS SPECIAL CONDITIONS: I NAME DATE Plan Check Env. Health 414 Planning Fire Marshall Co. Engineer Utilities Plans Examiner n PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE SEPA Mobile Home Other (Specify) 2c 42T TOTAL $ 2s." PERMIT iTUMBE e lf 02* *25.00 *25006 A *000 00 5878 07-12-82 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0'7-if�.82; 587,92 nATF ISSiiF:n PERMIT NO t �2�0'0 0 Tr1TA I C C L IN