1982, 06-03 Permit: 82A-4468 Pool PLAN NUMBER
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- APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT S'A- " 5
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 C * * 2 G 0 0
1. E ) gO' i ULj �w Ay LEGDESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S (,`Y S i..0-1 _ 11 % * G F O [) u�
2. * 2` 006
OWNER PHONE
3. Cid(Ar k, 1--9,1-r dice_ q 24-5510 A * 0 0 00
ADDRESS Z P Actual Set Backs in Feet Q�
i 4 984 \A w,#) 19 z r2.-(4.
M -� ' tt l� 1.2
North 2.- -�D South 250 East .. 0 West (Pt)
C N RACTOR PHONE Size of Parcel Zone Classification 0'6—0 1 i 8 2
-P('F.0 A5( 'V, �ta�i"Ut, j s 3S G IB7 4 '5 LIS- (I Sao)
4' c 4 7 c
ADDRESS ZIP Ty�p/§'Co t. Occupancy Sprinklered
e 3O c i kt-S oY\ 1�1 1 I� v' ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation JBuildin Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
r... ..---
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. —
TYPENo.Baths No. Stories No. Rooms No. of Dwellings/
0 ALT. 0 AD'N. 0 RPL. ❑ E. r-'
7. OF ❑ OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. POOL CERTIFICATE Req'd. Rec'd. Not tF!).q.ki.
of EXEMPTION
DESCRIBE WORK Enum. Dist. !Location (Area) FEES COLLECTED
8. SMIAMAAiLA911✓ �� 34)
VALUATION SOURCE GAS ELECTRI WATER SEWER
/•
`'�` q.�,�� OF Ownership SE CODE
9. L V VV V UTILITIES 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 construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPE • S 0 Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVAL SPECIAL CONDITIONS:
)Anv.
NAME DATE Plan Check
aalth/[J h `-/ // SEPA >-'
Pla fling
1
C,
Fire Marshall Mobile Home "'i
J
:y
to
Co. Engineer Other(Specify)
Utilities �f
TOTAL $ Cr 5
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building . nician PERMIT IS NONTRANSFERABLE Q''6i6;3f`�'8 '2to * O .J -
��3 446.82 25,UOal-.
�1 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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