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1979, 07-25 Permit: 79-1020 Pool PLAN NUfVIBER APPLICATION/PERMIT PERMIT NUMBER I SPOKANE COUNTY — BUILDING CODES DEPARTMENT /� 7 - 1020 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE JUL)/ 2.5�19`� APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 02 * * 47.00 JOB DD 55 „3,:)30„ LEGAL DESCRIPTION - SEE ATTACHED * 4 7.0 0 v LT BLIOCK SU OPARCEL NUMBER/S 2. A t- 5z- - '112- * 4 7'OOv OWNER PHONE B *0.00 O 3. LA)/ it i ail& CO Al i T a 9dSI-1r. 3 ADDRESS ZIP Required Set Backslin Feet 1 0 1 I.9 2 1E1130 - SPl2I1�6 Flaw 2© , North 1South East west 0 7-2 5-7 9 CONTRACTOR PHONE Size of Parcel Zone Classification 4. fOXese- Pools t/6 'S`YS-7 13 X OVAL g 6479, ADDRESS n�/�, �/� A� M, ZIP Type Const.lOccupancy Sprinklered w(a?/V //!C_Kdoc , V1e- UJ /', il/[ioe f1i!Q -Stec( Jl2CU ❑Yes l'lo ❑ Req'd. DESIGNER PHONE Valuati KaBuilding Area in Sq. Ft. 5. FocK Po PJX01 �� Jrt(1-1 ADDRESS ZIP DWL Area I Basement Area Garage Area Storage - .5A Pie CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. — �/ No. Baths No. Floors No. Rooms Rec. Room TYPE DQ NEW CI ALT. ❑ AD'N. CI RPL. 0 MVE. �— 7, OF 6 _ ���yyy ❑ OTHER WORK ❑ BLD. ❑ PLMB. CI MECH: ❑ M.H. �p.POOL CERTIFICATE Req'd. Rec'd. Not Req'd. / of EXEMPTION DESC BE WORK 8 WI AA,yvv__ i V.; 3p p FEES COLLECTED „yALUA77TION Source GAS ELECTRIC WATER SEWER 9. Jof .--J Utilities Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 4717* ( Xy — on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building /7 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. \ Plumbing DATE -44 -27 -/ SIGNATURE — .�/=' - Mech. SPECIAL APPROVALS SPECIAL CONDITIO r. DEPT. REQ'D. REC'D. Plan Check Env.Health e it',-? e 7��‘/>> , I- SEPA o Planning C. — 0._ Mobile Home Fire Marshall , Z y ,! Co. Engineer Other (Specify) — Utilities Uy Oa TOTAL $ 7/ XX Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. DATE 7�579 OFFICIAL 7t�=t)2 -25 Q `' 2' r * T 7. 0 0 0. (- APPROVED FOR ISSUANCE \ SOS I Ind. Ins. Acct. No. RESIDENTIAL—COMMERCIAL REQUIRED M '� GAAE (—Sad Plumbing Permit y3 A w Heating Permit w IAN Sewage Permit ,, Plans Received Plans Checked Plans Returned Plans Picked Up �� Plans Mailed F114135,/.44ifitiP 4.7r4lezaeft SOUTH I hereby certify information submitted is correct and there are no other structures located on this property except as shown. Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. DO NOT WRITE BELOW THIS LINE Tour street address will be The zone is Sewage Permit Number Issued Building Permit Receipt Issued Remarks Form 523 Bldg. Code