1981, 07-17 Permit: 81A-7175 PoolAN NUMBER
JOB ADDRESS
LOT BLOC
2.
OWNER
3
ADDRESS
CONTRA TOF
4 0
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
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVIS ON PARCEL NUMBER/S
�- 8
PHONE
ZIP Actual Set Backs in Feet ,1
North South ' East"t
PHONE Size of Parcel Zone Class
iGo I kz . L
PERMIT
L' i & -117 r�.
L2*(I/ C
*2J. 1_x'0 u
*2550
A *QC;O
1 L '7 r_
07 16-'F1
6,479,
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
f►� r •
-Z
❑Yes [-]NoElReq'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
VZ?�C1
�51Z
5'
ADDRESS
ZIP
Main FI or
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 NEW 1:3 ALT. ElAD'N. El RPL. 1:1MVE.
7, OF ❑OTHER
I) ElPLMB. ElMECH. ElM.H. 'N POOL
CERTIFICATE
Req'd.
Recd.
Not 7q'd.
WORK
of
of EXEMPTION
J
DESCRIBE WORK
/
Enum. Dist. I Location (Area)
FEES COLLECTED
8 -5tv *M.✓h IWK.3Z
VALUATI,ON
I SOURCE
GASTRIC
WATER
SEWER
Ownership
USE CODE
9. QCJr-%
OF
UTILITIES
c�
�bEFT%C.
Public ❑ 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 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` Z / SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Epv.,H Ith
SEPA
Planning
O
Mobile Home
w
Fire Marshall
--�
i
Co. Engineer
Other (Specif�ys5loo
Utilities
TOTAL $ Z5•
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
B -Iding echnician
PERMIT IS NONTRANSFERABLE
Q'FII••I{�•jdl�_;8;eli
% 1•% 5z * 2 5 0,0 Q
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL
Andersen
WINDOWALLS"
im
DAT
EXCHANGE LUMBER Co.
P. O. BOX 2565 P. O. BOX 1051 P. O. BOX 2066
SPOKANE 2, WASH. MISSOULA, MONT. SALEM, OREGON
487-1621 549-5121 364-8456