1980, 10-15 Permit: 80B-2010 PoolPLAN NUMBER
to 11'3) sr
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. E. 96o4
LOT
2.
OWNER
ADDRESS
S. 9609
CONTRACTOR
ADDRESS
N• S/ So
DESIGNER
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
4.
5.
SUBDIVISION
/1%4PGC /1/2c� Sa.ea/✓/s/o.D 9ZS/-804/
PHONE
Y B4RaA.e'9 Vn/c/9
PARCEL. NUMBER'S
8-zs-4a
0$5h13- OHz'
ZIP
99zoy
Actual Set Backs in Feet
North 75 'South 'East /0' 'West els'
.70ocs /NC.
PHONE
"89- any
Size of Parcel Zone Classification
go,4( /30 0%RA a Sift
FRE VA
ZIP
99zo7
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'cl.
PHONE
V ation
S.ZGO
Building Area in Sq. Ft.
Si 2 -
ADDRESS ADDRESS
ZIP
Main Floor
•
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ ADN. 0 RPL. ❑,MVE.
❑ MECH. 0 M.H. IG/POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Rebid.
• DESCRIBE WORK
B. RRErS/Icn/Y//Pt
VALUATION
OR zoo
Enum. Dist.
.St;c.f:.nn, /ivy Foot
Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership El, USE CODE
Public 0 Private
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 DC!
SIDE FOR REQUIRED INSPECT' r
DATE OF APPLICATION /6 �%C./ 6SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
nn ng
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu
• t/cenise ok 9ti-.
Ro/3o/80
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) Z' 00
SV✓/M / Ne„ Pool—
TOTAL $Z5•c"C3
PERM'T NUMBER
— Zatc7
02* *2500
*2500
*25006
,A *600 3
.20092
10-15-80
B 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1113'11.1941811 2 0.104 *2 5.0 0 a
DATE ISSUED PERMIT NO. TOTAL
1 3
• r .i.
•
04(
Co'ere ci DecK
F- r.t Pov h I
5 5_
10' :-
441
F, ,(1441-c O
T' Dow>, I d Er to.ro— Ly rc �n
E, (16oq Novo.
kl
SpOKaalt )luA 9440
Phnht - W)- 4a14-80/.01 -lw) _1458-54oq