HomeMy WebLinkAbout1981, 08-24 Permit: 81A-8452 PoolPLAN NUMBER
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
JOB ADDRESS
95
LOT BL CK SUB I ISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3. �(
SS ►�,�
ADDRE
, fir; AcT,
CONTRACTDR
stiNV
ADDRESS
4.
PHONE
Actual Set Backs in Feet I✓��
North 'South (East d 'West
PARCEL NUMBER/S 17
P1; ari 6 I°�' I
(_ 120 of ?3f'CS .51 or 5i 2 -5,
ZIP
44,
ri.9-*;1T NUMBER
02* *2500
*2500
*25.006
�n A *000
842112
PHONE
Size of Parcel
�2-
I2--e9
ZIP
11 TelConst. Occa
Z ne Classification]
,
panty
Sprinktered
❑Yes No D Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
CJ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
0 RPL.
0 M.H.
❑ MVE.
❑ OTHER
121 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not 9*q'd.
DESCRI
8.
VALUATION
9. I 000
BE WORK
IN/
Enum. Dist.
Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public D Private
SE CODE
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
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
DATE OF APPLICATIONy/1! / al SIGNATURE OF APPLICANTM4,/) • /`
SPECIAL APPROVALS
NAME DATE
ItP anning
Y/w
Fire Marshall
Co, Engineer
Utilities
Plans Examiner
SEPA Checklist
141111110
Teicia
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) —�
TOTAL $
08-21-81
6,479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0!8,4`81' 845;25
DATE ISSUED PERMIT NO
*25.00a -
TOTA L
pi l I3 .103 ° 6.1 1 tnl 8�
c' r v� cc 51,2 Glc � 7_01