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1979, 09-20 Permit: 79-4352 Pool APPLICATION/PERMIT -.0 PLAN NUMBER PEI, .UMBER 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT r 4';2- NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE C7'"/3 7 9 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 02 * * 2500 JOB ADDRESS ti) LEGAL DESCRIPTION — SEE ATTACHED * 2 5 0 0 to- LOT 1. E. 1!c3Iio a0-- CCue--t-- C BLOCK SUBDIVISION ( //�� 1 PARCEL NUMBER/S * 2 5 O O U 2. l t P MONI I- a'-4c5 Adoi./V' OWNER PHONE E *0.0 0 V 3, v4.ulie r- ` lA- lag:.1.. ..nS5tt i -- 0 'P.-© 7 /' ADD ESS ZIP Required Set Backs in Feet 4 3 5 1 2 t l 4 b V t'> North /49 ISouth i East 4;;�� 'West 0 9-2 O w 7 9 CONTRACTOR PHONE Size of Parcel r Zone Classificati n 4. Ird4o1--&, Cot~ )p , 9.2a- -y5,a 3/ 4-,'t1'44.- i - w 4 d4h. B 6it79. ADDRESS v ZIPTypeConst. ccupancy Sprinklered P.L`7- x IY >CP 4, q 9 n f y VINA!,4, I Area in"-I Elves ❑No ❑ Req'd. DESIGNER{ Va PHONEValuation Building Sq. Ft. 5. /1"/A1 ,i--/a_ — ADDRESS ZIP DWL Area Basement Area Garage Area Storage A-1 AVIA- .l/4 "14 .$1/4 CHANGE 1OjF USE FROM TO Split Entry Split Level Rancher 6. ,f-/ .s-10. /OA N4 N/ No. Bath No. Floors No. RoomsJRec. Room TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. it/6- /y'/ 4,-/ii A,-//7.OF ❑ OTHER Req'd. Recd. Not Req'd. WORK ❑ BLD. CI PLMB. ❑ MECH: ❑ M.H. POOL CERTIFICATE of EXEMPTION DESCRIBE WORK FEES COLLECTED 8. ft- tvra + St,a, s'Am .u3 Coo I VALUATION Source GAS ELECTRIC WATER SEWER tr 66 of . T 9. ,.StO _ Utilities 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. Plumbing DATE 9--J:-J- 7 j SIGNATURE 0 C Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health �. y r" /7 SEPA o I— C..., Planning _ w a Fire Marshall Msibile Home rn Z Co. Engineer Other (Specify) c""" - Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist •!'ar THISirF,CO E A E MIT. DATE S/2f790FAMPILIV -Apr-- - � y �'� 43"5.2z * 25,00 ° x. .. AP77��i FOR ISSU,NCE Z+c ve /6316 E. a©t�C� • J J a2 5c/ 9 y a6) — M i 74..2V • • • •