1982, 05-25 Permit: 82A-4151 PoolPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
k./ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
2. `L4_5 E3 K UB 'A1 t � � PARCEL NUMBER/S 1715113 aj
OWNER
3.
ADDRESS
r>' -
CONTRAC
4. ADDRESS
DESIGNER
5. ADDRESS
Actual Sgt Backs in Feet
Jorth 9
(South
iize of arcel
Tyne jcopst.
I OccNpancy
luation E
Main Floor I Upper Floors
ist r2West
Class ication
01,
Sprinklered
❑Yes ❑No ❑ Req'd.
luilding Area in Sq. Ft.
CHANGE OF USE FROM TO Area of Decks I Finished Basement Unfin. Basement
6.
TYPE �// No. Baths No. Stories No. Rooms No. of Dwellings
�f NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ VE.
7, OF J ❑ OTHER
WORK❑BLD. ❑ PLMB. 1:1 MECH. ❑ M. H. C7 POOL CERTIFICATE Req'd. I Recd. Not Req' .
of EXEMPTION
DESCRIBE kVORK Enum. Dist. Location (Area) FEES COLLECTED
8. CSO L", I I
VALUATION SOURCE GAS ELE TRIC WATER SEWER
Il!'ri) OF J Ownership SE CODE
9. ���o77CC..((��GG// 1UTILITIES j6/ jPublic 11 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 Building
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 Plumbing
Plumbing
DATE OF APPLICATION � `�`�,� SIr;NATIIRF nF APP( (CANT GAF , e /X Mech.
AL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
re marsna
Co. Engineer
Utilities
Plans Examiner
ng Tech ni n PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home 2�f
OthKLI
(Specify)
TOTAL $
PERMIT NUM E'R
L
02* *2500
�2500
*2500
A *C,00
41 4.97c
05-25-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
78.-2 41`5.1 z
*25.08a�'--
LOO f 7-r7