HomeMy WebLinkAbout1982, 05-05 Permit: 82A-3502 PoolPLAN NUMBER .,.
APPLICATION/PERMIT
SPOKANE COUNTY -I- BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
AiPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
JOB A DRESS
0
VocLyf
LOT BLOCK ISUBDJVISIO
2. 3 itrifqLl1 AvOiToN
OWNER
/rkpie I5 �.' I c1
3.
ADDRESS
I OGL_1 S'r
CONTRA TOO I.M�fII yyv�� [r
ADQR . 1 Icy PI N
DESIGNER 7
LEGAL DESCRIPTION — SEE ATTACHED
4.
5.
SHONE
572-0 (o
92J-527%
PARCEL NUMBER/S I7 5+2 — I2
Actual let Backs in Feet
North ie. (South
East (West
Size of P rcel
P ;e1(°'
PHONE
Y . ToX
ynst.O. upancy
Zong ClassS n � �
Sprinklered
Oyes 0No' 0 Req'd.
Valuation
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf In. Basement
7.
TYPE
OF
WORK
-NEW 0 ALT. 0 AD N.
BLD. 0 PLMB. 0 MECH.
❑ RPL.
0 M.H.
❑
POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
No q d.
8.
DESCRIBE ORK
ON S U
I w�l 11 cel ft t(lea I (o x 3 2
VALUATRCE
OF GAS EL TRIC WATER
9. UTILITIES
Enum. Dist.
Location (Area)
SEWER
Ownership
rsrrio
Public 0 Private
USE CODE
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 ion or the
performance of construction. SEE REVERSEjSIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION�� /70-- 0-- SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Ery4.if-1 ealth
arming
5/9
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu Techw
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
O er (Specify) 2
rbt�
TOTAL - $ 4
PERMIT N r..1�1
0.2* *2500
*2500 N
*25008
A *000
33212
04-28'-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
';8,1.11 8:21
DATE ISSUED
51510;21' .42.5.002. -
PERMIT NO.
TOTAL
>-
a. 0
U
J
a
Hrn
u
47'
L. r RD
lay