1981, 08-07 Permit: 81A-7871 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 ADDRESS
1. • joy -cam e4ctJ . 6.-
z
L1 BLI b
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LEGAL DESCRIPTION - SEE ATTACHED
SUB (VISI
1001t
3. N NOLO ADDRESS
0oyo H lssto� CONTRACT
YYbb//,,
ADDRESS
DESIGNER
4.
5.
-1.fr 3
HON E
— 3&2+2
99
PARCEL NUMBER/S
Lo -r 1 - 07-01
Lot 5 tJo. or Fj4 alkY
Actual Set Backs in Fee('[
North (South
East I W
West
PHONE
Size of Parcel
e70
Zone Classification
&iKIL 6 .
ZIP
Type onst.
Occupancy
Sprinklered
❑NO 0 Req'd.
PHONE
Valuation3;0(A0 Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
EINEW
❑ BLD.
❑ ALT. 0 AD N. 0 RPL.
❑ PLMB. 0 MECH. 0 M.H.
,❑,/IJV E.
L PPOOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Resyd.
B DESCRI ENJft
MMf ?'t ?cv l'
VALUATIONN GAS
9. 11
SOURCE
OF
UTILITIES
ELECTRIC
()X2LI)
WATER
Enum. Dist.
Location (Area)
SEWER
STI G
Ownership
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION
b-8(
SPECIAL APPROVALS
NAME DATE
L+ -d :y
Ara
ire Marsh
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
astsla
SIGNATURE OF APPLICANd ani4TCWy9
SPECIAL CONDITIONS:
FLAN( kJ: nka fSPItil- OJ f c&4( -(''Ino ue
-Dtct& (=.150 15 TtiF..RA 1w.l ti Cti 5T2E-aT ,0.)1)
AS - G( t &ut.? oNLY PP-Q012E. A 151 Se4t+c%
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
•
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) L�
�bo
TOTALf$
PEFNIT WU•IBER
r
StA--737(
0,21* *2500
*2500 to
*25006
A • 10Q00
787:0g
'08•=07-81
B 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• kt1='u r =� 8{'1
( IIA 'I�'I:
DATE ISSUED
T87�TZ' *'25,002.
PERMIT NO. TOTAL
6
o 1
Lo I
I
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