1982, 07-07 Permit: 82A-5794 Pool PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT `� '.. 7 4—''
7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. rLEGAL DESCRIPTION — SEEATTACHED C2 * * 2500
LOT BLOC SUBDIV SION PARCEL NUMBER/S ,24.04....... �y� * 2 c O06
2. �J Rp1 0 1- IIS= • ✓� �
OWNER i Y IOi`E A * GOO 83. ADDRESS /.- 7�
-- L7 5521 0
j ��jj� Actual Set Backs in Feet
i I I R0`rC1+ C?4# PR' -5.7 North 'South 62 East (West 0 6 6- 2 9*'8 2
CONT T R�9 H NE Size of Parcel Zone Classification , 6 4 7 0
4. 5 C cam'-+J e
ADDRESS ZIP Type C nst. Occ pancy Sprinklered
�� ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE , No. Baths No. Stories No. Rooms No. of Dwellings
LNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF LJ� 0 OTHER
WORK ❑ BLD. 0 PLMB. ❑ MECH. 0 M.H. POOL� CERTIFICATE Req'd. Rec'd. N t q'd.
of EXEMPTION
8 DES`�IB WORK ��L/ Enum. Dist. I Location (Area) 1 FEES COLLECTED
� I
Ni 1
VALUATION
SOURCE GAS ELECTRIC �W R SEWER Ownership /USE CODE
9. OOC. UTI LLITIES 'icj Public CI Private
td Single $
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 Building
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 INSPECTIONS Plumbing
DATE OF APPLICATION 41/......0. •' r • SIGNATURE OF APPLICANT TI---- ce-,_ (1.___, ech.
SPECIAL APPROVAL SPECIAL CONDITIONS: iJ
NAME DATE Plan Check
Env. Health
, - 7 ff'�R� SEPA
PI fling / r r CD
Fire Marshall / Mobile Home — `�
Cr_
Co. Engineer Other(Specify)
Utilities r
TOTAL $ 5.
Plans Examiner
SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
*�
Buil - echn n I c PERMIT IS NONTRANSFERABLE Or7 ,f' x'8.2' 5'7 9.4 z *2 5 0 0 a 1 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL