1980, 06-23 Permit: 80-6096 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
,. X10 - 9 CO 15 �i 1 -,Ad KIIS gab
LOT I BLOCK
2.
5fg
3.
4' ADDRESS o A v -I'»
rr�Jle. n� r,
LEGAL DESCRIPTION — SEE ATTACHED
JBBDI V IISION Iy�� Irk'',/ I I"�'./'(/�
1 'V 1 P Of 1,EIZ, LY/
OW L'AI ,I I '1'V 1`t % GI/
PARCEL NUMBER/S
49 5%-/e
ADDR S I — fr•cp<fr 4
R1 }CO -
CO
C
CONTRACTTeo lac pc". ONJ 1:22:70
Actual
2o
Actual Set Backs In Feat
North 'South 1/ East
IWest it
PHONE
Size of Parcel
100k I? rJ
Zone Cllaas1siffiica/t ion
ZIP
Type Const.
Occupancy
Spfinklered •
❑Yes DNo 0 Req'd.
06 i» SIGNER"
At/DRESS
PHONE
ZIP
Valuation��/)• (Building Area in Sq. Ft.
414
Main Fr 6Y ✓ Ifl
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks •
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
EfiCEW 0 ALT. 0 AWN.
❑ BLD. 0 PLMB. 0 MECH.
❑ RPL. 0 MVE.
O M.H. E<POOL
DESCRI E WOR
a. I Nr tk I Jra Icon C 15 ? . +0)
0 OTHER
No. Baths
NO. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Reed.
Not Re d.
Enum. Dist.
Location (Area)
VALUATIONI
V/J/
9. /
4,11-0
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..AlI 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
I/ --snr ance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIOP
1 �- JF APPLICATION ,fe —age -go SIGNATURE OF APPLICAN
L.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WAT
rvIE
SEWER
Ownership
Public ❑ Private
USE CODE
--2SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env.H�
Planning
Fire Marshall
Co. Engmee
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
/Mech.
Plan Check
SEPA
Mobile Home
Other (SpecifyrRS
KVDV
TOTAL $
PERMIT"}JME.4R^
02* *2500
* 2500
* 25008
B *000
60 9.3 2
06-20-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'O C5'6+12, I�AI 8
� V10
DATE ISSUED
61(9,61 *.2.5,0.0 -
PERMIT NO. TOTAL
v:.. 1
Y
DWILVIMY
DC -CK --
if 1
CEMCNT
- _PQQL 15x ao'
N
.N
11=4"
O'
SChLS. t6 - 11-0'1.._-
_C CNCC-_
-GARY LAURI
•