1982, 08-11 Permit: 82A-7032 PoolPLAN NUMBER .r
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.
3
JOB ADDRESS
LOT BLOCK
SUBDIVISION
6,442,„ 7;7, - ewe. G'
OWNER
GURU
LEGAL DESCRIPTION - SEE ATTACHED
3 es/7,1,Zto�j
PHONE
PARCEL NUMBER/S
ADDRESS
$/g?0�1
CONTRACTOR
nz r
4' ADDRESS
X57/8
DD t7
ZIP
772iG
Actual Set Backs in Feet
Northe8 (South / 2-
East (West / .54
77v4s 1 •->c
PHONE
9.g7- ..746
Size of Parcel
/..36 x YO
Zone Classification
-/"/.74/17'
ZIP
o 7
Type Const.
‘u ..,E
Occupancy
Sprinklered
Elves ❑No ❑ Req'd.
5.
DESIGNER
r
ADDRESS
PHONE
Valua on
77-6DU
Building Area in Sq. Ft.
ZIP
Main Floor I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
▪ OF
WORK
Ut/NEW ❑ ALT.
❑ PLMB.
0 BLD.
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ AD'N.
O MECH.
❑ RPL.
O M.H.
0 MVE.
OPOOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
�Cf i cf L .-<. L s li
• ,TS ,rl , is G� YJ t5 L,
Enum. Dist.
ILocation (Area)
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE 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 APPLICATION V `3 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Health
Plannince
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
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 $ Z r
PERMIT 'Ni3,1BErtr
- (2 :2_
02* *2500
*25006
A *000
6'78,52
'08-04-82
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-11-82
DATE ISSUED
70122 *25.00
PERMIT NO.
O J -
a! -
TOTAL
S /8a 51 &ood LAa..�
Owhcr - k.1. 4)• /30311 -
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/44 e
3G,
1
y5
�+ err:.r t foo Z s C
f. 3 7/$ ,D e e m 2/- r
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