1982, 05-04 Permit: 82A-3449 Pool PLAN NUMBER PERMIT NUMBER
I
. APPLICATIMI/PER IT SA -544,
SPOKANE COUNTS BUILDING CODES DEPARTMENT
e„,/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED * ' 2 5 Y 0
•
1. I 25 2+4 Z - * 2 5 6 0 n
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 6 i 6,aIL -PAR_ 5,sz-A s. zr7592. - Lng
OW ER PHONE 7 ( r, m,
3. �tc4tAEL T CSOMeg-
ADDRESS Z n� ZIP Actual th NUMBacks in Feet 5 3 2 A 1 '`1
CONTRACTOR- 129
Z (S PHONE SiNze of Parcel 'South CO . EZone Classificationlst A_ () !! 2 7-�' 2
4. .5 UVB 1 r �etrt-S �C.- $501 -7Co(y. /(o3 ,,- 10-o
6 C 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
‘-/1 5 ec c -t & f Z,o7 c.IAMJ E Elves ❑No ❑ Req'd.
DESIGNER PHONE Valuation Brrii�ertgg�Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage
Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER -
WORK 'j BLD. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
DESCRIBE WORK Enum. Dist. Location (Area)
l-%.^'it�u 1f4� 1?iSc>i.� Q_(c.X3 FEES COLLECTED
8. SiVALUATION SO CE GASELECTR WATER SEWER Ownership USE CODE
OF
9. 7 o� OF
Public 0 Private
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 thisBuilding Z5
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 REVERSEQSIDE FOR REQUIRED INSPECTIONS ______.. Plumbing -
DATE OF APPLICATION 41.--"../' ?- V SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
YLv .
NAME DATE Plan Check
alth
s1-i SEPA 2
anning O
Mobile Home w
Fire Marshall J
Co. Engineer Other(Specify) C
Utilities TOTAL $ �!
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
4
Build iician PERMIT IS NONTRANSFERABLE 0.5 104'.-8 2 3 4l4 91 *2 5,0 0 a
E/_. (� �) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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