1980, 09-09 Permit: 80-9880 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 3COPIES
JOB ADDRESS
1. a 12 pa* G R /)c&
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2. 2
Ow
3 -
BLOCK
I0
SUBDIVISION
MAK1L30M R.RNcH
ER
RT
ADDRESS
6: /aloe/
4.
5.
CONTRACTOR
6/2'9cC
PnoLS
PHONE
q 1- SSZ
ZIP -
PARCELNUMBER/S o9$�I_ /C,3
Actual Set Backs in Feet
North G7 'South 3G [East 60
West
PHONE5_ 5457
Size of Parcel
86' x /'o
Zone Classification
ACRIcuL`TU'RAL
ADDRESS
W. 129)q n4EADouA)iFM-) LANE
DESIGNER
NINE MILE. F/inip
9 cw26
Type Const.
Occupancy
Sprinklered
❑Yes 0No 0 Req'd.
PHONE
ADDRESS
ZIP
Valuation
'78,5'66 X7
Main Floor
Building Area in Sq. Ft.
6I
Upper Floors 1 Garage Area
Storage .
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
LTNEW 0 ALT. 0 AD N.
0 BLD. 0 PLMB. 0 MECH.
❑ RPL. 0MVE.
O M.H. ES COOL
0 OTHER
No. Baths
No. Stories
No. Rooms
•
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
$ EWIMM NG Poo L_
VALUATION
9.x'3 6 x,
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
SOURCE
OF
UTILITIES
GAS
(17iC369
ELECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
,EXIST
Ownership
Public 0 Private I '
USE CODE
DATE OF APPLICATION
SIGNATURE OF APPLICANT/ 1n4liCP tel _
SPECIAL APPROVALS
NAME DATE
Env. Health
9
6b
Planning
Fire Marshall
Enginee
Utilities
Plans Examiner
SEPA Checklist
Co
Bw.ng chnician
.1'Aa•
f a
•
SPECIAL CONDITIONS: O"
I-FoLD Pa- LIc/&,US, 9ENEWAL
.4:4X -e -K ,t --Q) o --+'-S . S/
PERMIT IS NONTRANSFERABLE
PERMIT. EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing -
Mech. -
Plan Check
SEPA
Mobile Home
POOL 00
Other (Specify) 'C.-)
TOTAL
Zs°
PERMIT NUM3E'
02'w *2500
* 500
* 2500
•A r*0 0 0
987.7a
0'9=09''-80
2 64;79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'0; 9i1? p.9'it'8i'0':
DATE ISSUED
988.02
PERMIT NO.
*25,0.0°1-2
TOTAL
FOX=
THE STRONGEST NAME IN POOL
WEST 12914 MEADOWVIEW LAN
NINE MILE FALLS, WASH. 9902
Telephone — A/C 509 / 466-545
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