1983, 05-17 Permit: 83A-4154 PoolPLAN NUMBER APPL ICAT ION /PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREETADDRESS PARCEL NO.
� . . ln5-1(0 Le,00 r R z -t S`43 - 1106
LOT
2.
BLOCK
SUBDIV17ION
LEGAL DESCRIPTION:
O NER e
PHONE
PHONE
-N
MAILING ADDRESSZIP
%%
Actual Set Backs in Feet to:
+
`115 10 h_ e-26 r- N
C/` G
North South East West
CONT TOR ✓
" I
LICENSE
34E�
Size of Parcel
i f
ZoneClassification
Residential❑
4. Kf}N
— ��s
.17 �3� 3.
fi.
Commercial ❑
ADDRESd
ZIP
Type Const.
Occupancy
Sprinkl ed
/j'2;? --1O V I1 /
o
M-1
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
N Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
72r Gt
5.
ADDRESS
ZIP
Main Floor
oors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
EUntk
Fin. Basement
Unfin. Basement
6.
TYPE
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
El NEW ❑ALT. ElAD' N. El RPL. ElMVE.
7. WORK El BLD. ❑ PLMB. ElMECH. 1-1 M.H. POOL ❑OTHER
Certif I. of Exempt. —7
Required Yes❑ No❑
Number
or Variance
Received Yes❑ No❑
DESCRIBE WORKjj Q�
8' u 1 J i
Shorelines/Flood Hazard
Plans Required ❑
l S 1 ,e S 1 a 4! v b a
Yes ❑ Not Applic. ❑
Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership
9 / OF PUBLIC ❑ SEPTIC
FEES COLLECTED
l UTILITIES PRIVATE ❑ SEWER public ❑Private ❑
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
`5 00y—'Z7 �Ge
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE 17 F 3
Mech.
SPECIAL
APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM.
FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
>_
Fire
Prevent.
Other (Specify)
a0
c.)
Engineer
W
57c V
J_
LL
Utilities
Z
TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Plans
Exam
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
�; — 17 — 8 3 4 1. 7, 4 o * 2 5. 0 Q o
Tech ng
DATE UED PERMIT N % AL
I .- -- I I -A- /- -.
GUY
I
-4
SPOKANE SWIM CENTER
N. 3220 DIVISION
SPOKANE, WA 99207i
(5091 327 - 5223