1982, 05-25 Permit: 82A-4181 Pool (PLAN NUMBER APPLICATION/PERMITa
PERMIT NUMBER
,� SPOKANE COUNTY - BUILDING CODES DEPARTMENT � ¢1`�
/�� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. . t3,"%t i S .t�\'.� LEGAL DESCRIPTION - SEE ATTACHED * * 2 E 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. I i Qt" 412%.4 -7.7C.1 y et'z WO AL-E., lit-TS * 2 5, C m
OWNER PHONE
3. —cisrrtt,.c-kc.._ k,►.� sic., GI-y -044g 14-54-'Z- --k C:).-
* 5 0 0
ADDRESS ZIP Actual Set Backs in Feet +.j * 0 0 0 C
'L<• 'c c't . -- t•-t iA ot-z.• /�
-bi." ...iCp North 16. (South East C91 (West 3 9 4 7 L5
CONTRACTOR PHONE Size of Parcel Zone Classification
4. vwE et l.5 K L'2. ---
:,\i( C E 'C`AVH-t...-1/44 - 1 9-8 c
ADDRESS ZIP Type Const. Occupancy Sprinklered
itktollg ' TVVli 1A`2_ Dyes ❑No 0 Req'd. 6 U- 7 9,
DESIGNER PHONE Valuon Building Area in Sq. Ft.
ea
5. ADDRESS ZIP Main Floor Upper Floors Garage AreaStorage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. —. �-- .__
TYPE �(/ No.Baths No. Stories No. Rooms No. of Dwellings
LJ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. NJ/POOL CERTIFICATE Req'd. Recd. Not Recyd.
of EXEMPTION �/
DESCRIBE WORK Enum. Dist. Location (Area)
EL moi. (t 611c 3`5� FEES COLLECTED
'-� Yv�r1l� P.a h BOO(� I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
gr- OF �//
4.Qdd UTILITIES, `" SeTtC.. Public CIPrivate LTJ 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 Q construcction../SSEE REVERSE SIDE FOR REQUIRED INSPECTION � Plumbing
DATE OF APPLICATIONX ��G i7 SIGNATURE OF APPLICANT_Y ---a /t(� .<--(�•'-J-e��ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEPlan Check
En e
-(J�A �/-�alth
�j
%� `-' 241 SEPA
Cii
Planning `ii
C)
-
Fire Marshall Mobile Home `.1
Co. Engineer Other (Specify)Z'+=
Utilities
Plans Examiner TOTAL $ 9-C'
SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Buildin echnician PERMIT IS NONTRANSFERABLE 0'54- 5-12 4 1 8. 1 °z *2 5.0 0 d F -
; riyjid
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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