1982, 05-13 Permit: 82A-3730 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, rDDRESS
�E
LEGAL DESCRIPTION - SEE ATTACHED
�. y
LOT
I BLOC
ISUBUIVI51UNPARCEL
/�Vol
L''�'rj
NUMBER/S 2
,
I� ,✓
2.
J T\I
n�
r
' 60, -'r �� 7
�.
O NE�}R
j
P ONE
,
3. flVLi�
17��V,IV� C�'
L `
"
Z -o o to id
A RE S
11�'�
ZIP /
Actual �S�et Backs in Feet �
North L.) South t I�`; West
CON
PHONE
Size of Parcel
ne Classification
4. — 1)
t� X ; �P
- .
to
ADDRESS
ZIP
Typt. Yonsl O cupancy
Sprinklered
N –ZYes
❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE
FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
NEW
❑ALT.
❑ AD'N. 1:1 RPL.
E]M E.
Baths
No. Stories
I No. Rooms
No. of Dwellings
7, OF
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not q'd.
WORK 1:1 BLD. ❑ PLMB. ❑ MECH. ❑ M. H.
POOL
of EXEMPTION
DESCF#IBE W RK
�,, I
, -"i
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER USE CODE
Ownership
it -)�/� c O F 2f
9. roti' UTILITIES 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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
-`1/
DATE OF APPLICATION `` 3 ?-- SIGNATURF OF APPLICANT lLVi X �-1i SAL` C Mech.
SPECIAL APPROVALS
NAME DATE
i ealth
!c-
anning
re Marshall
i. Engineer
tilities
ans Examiner
=PA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERM:1 NUMBER
0.2 *2500
*2500
3623
05-11-82
,2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
`3�1'�I,'`8 2i 3 `7 0 `Z * 2 S. 0 0
DATE ISSUED PERMIT NO. v?