1980, 07-03 Permit: 80-6634 Pool'PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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 LEGAL DESCRIPTION - SEE ATTACHED
1. S,Xoa�CJ
LOT BLOCK SUB 1 I ON PARCEL NUMBER/S
2. S iZLcJ[0O iq0,QcS
OWNER PHONE
3. /9 6R.v� ZG --60 y6v 2G5',�3—/20
ADDRESS
ZIP
Actual Set Backs In Feet
J. / :3
'94y 7.CC
North 1Z South
East /7 West O
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
�7i/ri� �L3oG5
-�s'�®
o
AUL E iq�K
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
./u- Z% l /DI -/, %�
1 -r -nes
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
V nation
Building Area in Sq. Ft.
�a
/j
5.g
ADDRESS
ZIP
Main Floor Upper
Floors I
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Baseme
No. Baths
No. Stories
No. Rooms No. of Dwel
TYPE ❑ NEW ❑ ALT.
❑ AD'N. ❑ RPL. ❑lMVE.
7 OF
1:1 OTHER
El BLD. ❑ PLMB.
ElMECH. 1-1M.H. U7 POOL
CERTIFICATE
Req'd.
Recd.
Not R,
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8•
FEES COLLECTED
iOE/VPA94 W
,w oc.
VALUATIOP41
SOURCE
I GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
cT�/j a9�
UTILOiTtES
5'�/DT��
Public ❑Private
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 constr ion or the
performance of construction.SEE REVERSE
DATF nF APPLICATInl\]' � /L 1-4
SIDE FOR REQUIRED INSPECTIONS
/ � glr.NATIJRF OF APPI ICANT Ci /��u��
Plumbing
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning /
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ecnnician
/19*IL 7a 6/0rVAC7-0rL
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Homej
Ot er (Specify) "�,-
RO'L
TOTAL $ 2S G'b
WHEN MACHINE VALIDA7
THIS BECOMES A PERMIT.
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t, Lt .r
2F,( 0Y
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679,
IN THIS SPACE,
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