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1981, 07-27 Permit: 81A-7472 Pool PLAN NUMBER APPLICATION/PERMIT PERMIT P51i `JER t SPOKANE COUNTY — BUILDING CODES DEPARTMENT 81la-7412 @...) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. 5 2Zt(o 0E A Ces-t P.. LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S 0 2 * * 2 5,0 0 2. t5 'DC .rAc c E.-ck-c s * 2 5.0 0 t5 OWNER PHONE 3. MELS 'KEtrsc� 4 -4z7 2564-S-O‘kc * 2 5.0 0 ADDRESS `Y�' T�, ZIP Actual Set Backs in Feet A * 0 0 0 U �J aatE-A � De- 44r,S--7 North 'South 10i East (West 4:2.' CONTRACTOR PHONE Size of Parcel Zone Classification 7 4 7 1 o 4. 1�.A To�� •�Ce-X.-S Cj213"SZ'76i ct x. 't 74.& ► Glx. CAM.Le-•`r' ADDRESS ZIP/IPType Const. Occupancy Sprinklered 0 7-2 7 81 NI, itt'1 +?tN€s RD CiegZAC. ) M'�, Oyes ❑No 0 Req'd. zi' 6 4 7 9, DESIGNER PHONE ValuatJ n Building Area in Sq. Ft. 5 S)CIDG (c 400 ADDRESS ZIP Main Floor Upper Floors ( Garage Area Storage - CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement 6. �JI TYPE No. Baths No. Stories No. Rooms No. of Dwellings NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. I. 7. OF ❑ OTHER WORK 0 BLD. ❑ PLMB. ❑ MECH. 0 M.H. POOL CERTIFICATE Req'd. Rec'd. Not 5teq'd. A of EXEMPTION Y/ DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED 8• 5L+i t.nn lrv>L i roc., "Pob(-- (•- .O?C3-z.) VALUA"ION SOURCE GAS ELECTRIC WATER SE ER /yJ Ownership USE CODE J UTILLITIES V Public 0 Private t 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 ulating con ction or the performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing DATE OF APPLICATION11 /s- 7 — rf/ SIGNATURE OF APPLICANTQ( J112 C4 .;2/1/1-e-A--' Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health Mur ltIrf . SEPA Planning ,,) Fire Marshall Mobile Home j_ ,L Co. EngineerZ' .(,,I0 Other(Specify Utilities TOTAL $ 05:.O Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. ` Building Technician PERMIT IS NONTRANSFERABLE 0-7 41`17--'8.1 7.4 7.25 *2�5 0.0 . H. � �� - ./ to PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL • _.___ .___...__.. __ �.._ ._... __ ,.�_.�,.. -.._ -- .9b . . . : . . . . . . 1 _ - i .. - - . .,. 1 1 1 • __.. —7-zXOZ it -1,-;v4. VN I Vd W 1.1''x' . . . . . . : . .4 . . . . ,0) •4. 1 • I . . . . m i 1 i . , , • 1' i©0 '.9-1, �. + i L2 obb. ' VM 1 / GV?J _. A . - .