1980, 08-15 Permit: 80-8601 Pool (PLAN NUMBER 1 —sem k.) APPLICATION/PERMIT PERMIT NUMBS_l
/}` SPOKANE COUNTY — BUILDING CODES DEPARTMENT PERMIT
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0, / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
J BADDRESS02 * * 25,00
(
1. ,` 11 f LEGAL DESCRIPTION — SEE ATTACHED * 2 5 0 0
in-
LOT BLOCK S DI I 101 PARCEL NUMBER/S O.5'4'4�—' 2'1 * 2 5. 0 v
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3. ? if 4IVER LdiJ.�. / _ PHONE
Y Ault)�Ehed.,5A ACA-W-5- .2 No ADD E * o.o o
A RESS 4A.4_,P*144:41-2(4
ZIP Actual Set Backs in Feet , 1 8 5&4• , ,� • j /V-e-IC2/L .', North f(South :� East .O'� (West 7CO�,r!!T Agg��T�Ogg /` J PHONE Size of Parcel Zone Classification 0 8— 1 4—8 0
'l� fi.c,.cf s ,e , .l fy t.. A.4,�z:• ° 6.4 7 9.
4' Aip...-
}ARES �_y �, {� Grp# ZIP .� ,y / Type Const. Occupancy prmklered z
R.L,C - O ...U - r-fr qel-, ,G�IfJ ❑Yes ❑No ❑ Req'd.
DESIGNS PHONE Valuation Building Area in SA. Ft.
5.
ADDRESS ZIP Main'Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Fi (,shed Basement Unfin, Basement
6. Fr
„4.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. - '- ..-
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. k POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
A.
DFISCRIBE WORK Enum. Dist. 1 Location (Area) '
8. 4'�� / �I `, /? Il FEES COLLECTED
VALUATION- SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
././,eide)g
UTILITIES Public ❑Private laSingle $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included /9C��i. _
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 -.t presu • Building
to give authority to violate or cancel the provisions of any other state or local law re ting cons' ion •r e
performance of construction.SEE REVERSEc� ySIDE FOR REQUIRED INSPECTIONS ' / Plumbing
DATEOF APPLICATION �!i G' SIGNATURE OF APPLICANT . ''... f Mech.A L 7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. -�1
f/ Mat,-- °Cei iLP. l/ 61 /Gi',r ��#1 SEPA >-
0-
Planning
Planning „Q�Z� ` �` l��rJ ' _ C.)
L....1
Mobile Home
Fire Marshall --
LL
Co. Engineer Other (Specify)
Utilities Yv
TOTAL $I21.4
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Z(din Te nicia PERMIT IS NONTRANSFERABLE 8'.-92,5r-184,`O' 8 6 0.1 °z *2 5. 0 0 a 1--
`"tel :. -`„ *-- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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