1980, 07-17 Permit: 80-7244 Pool PLAN NUMBER I APPLICATION/PERMIT ^.MIT N'_'MBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7 —I
N/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 2 * *2 5.0 0
JOB ADDRESS * 25.00 N
1 / , „S �CAIQ . LEGAL DESCRIPTION — SEE ATTACHED
* 2 5 Q O Y
LOT BLOCK SUBDIVSIO PARCEL NUMBER/S1 h S i�G
Cf-er
2 O�,W�+E42 / li r L PHONE .0 ,oT J of k/Cf E O.0 0 O
'E'1"�' a, �-1.L2d izgi—Ay/-7 tJLI `'Cr,E,t/5 A z 7 2 4.3 2
3 ADDRESS ZIP Actual Set Backs in Feet i 5-7/
' C::( - , North South<26 East 5'/ ' IWest�3r, 0 7— 1 7—8 0
/CONTRACTOR PHONE Size of Parcel Zone ClassifIccation p 6 4 7 9.
4. C.L,,Lx ✓1-49.4.0- �41 ' P `•,:a-F--t.:57.2-71 /`l1 `_ ;e /-�' �� �/,LL`�GZf t s Lk—
_ADDRESS [r�1 /,y ,{' ZIP
�7 Type Const. Occupancy Sprinklered
i• /1/9. Ad Le_J I LL•d it JB1�`LL vLQ �Y 7 ,.z Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation daBuilding Area in Sq. Ft.
5. ADDRESS ZIP Main'Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement ,,, Unfit). Basement
6. ') -.4_ W, ' -:,-7,,%' I. -„'�'
Nt-
No. Baths No. Stories €-
. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER V^”
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. Al POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION N.
DSCRIBE WORK l Enum. Dist. I Location (Area)
8. `Ne j� .�(� FEES COLLECTED
VALUATIO , SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
#6/ OF Public ❑Private rt
y. jr)dcl� UTILITIES kr' 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 Building
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 Plumbing
DATE OF APPLICATION 7-/6= 4. APPLICANT
, - SIGNATURE OF ! .. -(7.
1i11 -"- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
nv. I
7 7 SEPA >a.
'
Planning OC.)
Mobile Home ,
Fire Marshall J
Co. Engineer Other (Specify) Z5
. I
Utilitiesz., "
TOTAL $ .2.6-
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ding
Tc nicia PERMIT IS NONTRANSFERABLE '0 ► 1 %`�8 'G 7. +44 o * 2 5. 0,0 O rJ
-
B ,a.
. a,-;"L-L-- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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