1982, 04-13 Permit: 82A-2747 Pool PLAN NUMBER ;?-74--7APPLICATION/PERMIT PERMIT NiMB
y EFk SPOKANE COUNTY — BUILDING CODES DEPARTMENT `� Z
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 '' 2 * * 5 0
1. S.L170? SKIP.vUO ri4 ` ;' 0 u
LOT BLOCK SUBDIVISION PARCEL NUMBER/S O� 2
L1 ! IZci3
2. 3 / nrmY Ri�N f-s-ra-rEis 5. 7 T * 2 5 0 0
OWNER PHONE
3. PON CORNELL_ g2.$—I32.C, P, * C 0 0 2
ADDRESS ZIP Actual Set
� South
Backs in Feet v
a �O 7 I G' East /Q 3 'West I I y 2 7 4.6
S': 4---70.?4--4---70.?� 5)C11'WbR'rl� Y IJC�G North
CONTRACTOR PHONE Size of Parcel ) Zone Classification (; 4- 1 3,, 8 2
c 0')f j SO1N6tFi FRMiL_ P,ES
4' ADDRESS ZIP Type Const. Occupancy Sprinkler d 6 4 7 G
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Vation CO 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 lJ�/ No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. ---
7. OFg15-6--CTL ElOTHER
WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION L,r/
DESCRIBE WORK (Zo
Enum. Dist. I Location (Area) T FEES COLLECTED
8. 5wiMMimc pool__ x Ifo 1
VALUATION SOUORCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9.1/4 Iwo UTILITIESPublic ❑Private 0 9
Sin le $
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 Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
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 47/2/k Z SIGNATURE OF APPL - -. -.% Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
!!!!!!'''''' // NAME DATE Plan Check
En �elth
/ 7e y//z - SEPA 2
PI nning p
Sa
Fire Marshall Mobile Home w
PaoL
co Cr
Co. Engineer Other (Specify) 25 Ay
Utilities
pPlanTOTAL $ .2+5 )ix-
Plans
s Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE i ts ` 1 5 -
'owI1 posru, rr 0.4 -f l 7.18'2. 2 7 7 Z 0 *2'S. 0 0 ° �.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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