1981, 10-07 Permit: 81B-372 Pool PLAN NUMBER_ .. APPLICATION/PERMIT r'ERMi r uMBE„4
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
70.....7. APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. Z /6-30,
6 Say /y/ er�Chie / PA LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION n PARCEL NUMBER/S
2. ii / sc.a/ k via/ cq. 354/4/ 34o u2 * * 25,00
OWNER PHONE 0 0
3. INayH ,e t_ eISa./ 9263Uf5
ADDRESS / //���� ZIPS/ 3 Actual Set Backs in Feet * 2 5 0 0
£ /S3a 9 fy VerAiale w <�,of3 North 'South East (West C J
CONTR.A9TOR /y . / / PHONE Size of Par el Zone Classification
4. LAfGIV/vt -e t� /i iso y'[ 7.-28-3OfS -, 4- > I 3 7,
ADDRESS / ZIP Typ 1Ctnst. O c ncy Sprinklered
E /.std? / l ��Frc�a.�1¢ /V l
/� 519e 3 �V 7 _ Dyes ❑No 0 Req'd. 1 0 0 %-8 1
DESIGNER PHONE Valuation Building Area in Sq. F
5' ADDRESS ZIP Main Floor Upper Floors Garage Area torage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 17NEW 0 ALT. 0 AD'N. 0 RPL. ❑ M
], OF OTHER /
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. ((( POOL CERTIFICATE Req'd. Rec'd. Not ryeq'd.
of EXEMPTION ✓
DESCRIBE WORK aEnum. Dist. Location (Area)
$ /tea® /
V3 I /+++_ �t (i�_x 37---)I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC� WATER I� SEWER Ownership /USE CODE
9, 147 )0 UTI ETT IES I Public 0 Private [Ld/ 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 INSPECTIONS Plumbing
DATE OF APPLICATION /el ' - SIGNATURE OF APPLICANT �'/ iech.
CIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
En H h
/e/6 SEPA n
Planning ,.)
— "a
Mobile Home -J
Fire Marshall u',
Co. Engineer Other(Specify)
p
Utilities TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'1.:04.17.78i x ' 11 3�7,2 z' *�2.5 0 0 a. I -
(rdinVe icia PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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