1980, 08-21 Permit: 80-8924 Pool PLAN NUMBEk -1 APPLICATION/PERMIT PERMIT NUMBER
///��� / I 7/g y, d SPOKANE COUNTY — BUILDING CODES DEPARTMENT t;�`)_ g`j`At
V / < NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
`lll APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES11110,
C
JOB ADDRESS 0 2 * * 2,.7,CO'
// 1 LEGAL DESCRIPTION — SEE ATTACHED * 2 5,C.0 N
L1. dT )3L0-6KL�SI /ISION / . PARCEL NUMBER/S
2. .r 0{ bvt,kQ 2.6_, . .r`d..i.L.. iz t z * 2 St' 0
O ,NER =, PHONE
3. /1.4:1 -,,,f LL m4'-f. e- 4'.-i--?9' % 1461/2 -0Sa41 E * O.k 0
ADDRESS ZIP
Actual Set Backs in Feet �7 O 4
y /i +f-.� f� ,/j"-I-'Gr' t$ Jn� `r�.i �-f'7. ./ North �� , �South'��� East (West 68 8 l U CJ�G
CONTRACTOR ! PHONE Size of Parcel Zone Classification, 0 8- 1 9-e 0
4. 4�_i_zzi-�t�,f_,, �,d-e-t. q.2e-.rte.-- iv ") i :'i_.'_-k,./C ite 4,4
ADDRESS r ZIP Type Const. Occupancy Sprinklered z 6 4 7 9,
7 n ❑Yes ❑No ❑ Req'd.
. //1�T .. _.c.".11 „1t-CL �.i j, �_ "moi 2J��
DVSIGNER PHONE Valuation Building Area in Sq. Ft.
-i
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of.Decks Finished Basemen% Unfin. Basement
6. )e.),1-4.1--L-144/14,U,144.) ,1
TYPE No.Baths No. Stories 4 t
No. RawnNo. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. {c POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D ,SCRIBE WO K '' - Enum. Dist. I Location (Area) r
8 �
rC *.J
i I FEES COLLECTED
VALUATIONS SOUORCE F GAS LE RIC WATER SEWER Ownership USE CODE
9. 7N:re,z9--UTILITIEi)-4-4.41u1.14rC4,--
Public ❑Private At Single $
I hereby certify that I have read and examined this application and have read the "NOT CE" provisions included _
on reverse side, and know the same to be true and correct. All provisions of laws and or 'nances governing this
Building
type of work will be complied with whether specified herein or not. The granting of a per i oes not presume
14�
to give authority to violate or cancel the provisions of any other state or local I' w regulat' g co struction or the 'DL.
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECT! NS ( Plumbing
DATE OF APPLICATION ,>i--/"Z S `' SIGNATURE OF APPLICANT ,'.AA -\.,,,yA.A.. Meeh:
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ` Plan Check
ny. Health . / e/i se-4 c5/TE R.,,,,/ 4-�f/sich4`7.9
iti-v.k �e-
it4- sr-.?I-sll) SEPA >-,O
Planning f U
w
Fire Marshall Mobile Home --I
Li
Co. Engineer Other (Specify)
Utilities
.�y L1L�
TOTAL $..Vs-nPlans
c'c�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui ingTechgician ii PERMIT IS NONTRANSFERABLE + S 8 9 2, 4 5 * 2 5.0 0 a
l' .4
'( 0 8 -2 l� 8 '0
.4krii , - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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