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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