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1980, 04-29 Permit: 80-4068 Pool
PLAN NUMBER 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 . 561 le LOT G LEGAL DESCRIPTION — SEE ATTACHED BLOCK SUBDIVISION VALLcct l)teL H 1W C ' V-3_ OWNER rctc tCS©ry PHONE --5"S--614.7(4 PARCEL NUMBER/S �a`5 3Z_ ‘c.w ADDRESS G. SThS3 l9; ZIP CICzOC Actual Set Backs in Feet �-1 North % J 'South Col, East � (West CONTRACTOR FOXX)( �6cx `a *?oA )E=,, INC- 4' ADDRESS NMILE C_LS kekl 126414 MEAPOti VIELe1 LAN1G: 5. DESIGNER PHONE 4oC-Li-S4S`7 Size of Parcel Zone Classification ZI P Gct InZ Type Const. Occupancy Sprinklered Oyes ❑No ❑ Req'd. PHONE Vluation Building Area in Sq. Ft. IS k• c), ADDRESS ZI P Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK VNEW ❑ ALT. ❑ AD'N. ❑ BLD. ❑ PLMB. 0 MECH. ❑ RPL. ❑,/MVE. V ❑ M.H. POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. v DESCRIBE WORK 8.-RESiiDc�J�)! 4ci VALUATION 9. S?c!O 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 cj2S"-0 SIGNATURE OF APPLICAN".1.(e14: i! . SOURCE OF UTILITIES rvnrig.nLf LLECTRIC WATER GAS Enum. Dist. Location (Area) SEWER Ownership Public ❑ Private ❑ USE CODE SPECIAL APPROVALS NAME DATE Env. Heat` Planning `As Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist eui Tec nician _ SPECIAL CONDITIONS: PERMIT NO RANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home 'go° ther (Specify) a .,c)CT TOTAL $ x.Oq fPER310NUM 02* '*25,00 '*2500 '* 25.006 E *000 399,68 04-28-80 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 4!-- 29 $'0 flATC ICCs irm 406,85 *25.00RP Gll c rnov