1982, 06-02 Permit: 82A-4445 PoolAPPLICATION/PERMIT PEF2QITMBEfj _5
PLAN NUMBER MIT 4
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
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
Z LOT BOCK SU,B� VISION +� PARCEL NUMBER/S ^�� v„ 2-4o-7
3 0 { j -j I� �Ts I G1J I 'TI I ' PHONE'0211
ADD ESS
IP
Actual Set Backs in Feet
E Jealltth��j
- (y // �
% `rte
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone G ass�ifi�c/atio
Fire Marshall
(51 IX)
4' ADDRESS
Co. Engineer
ZIP
Typie nst.
Occu ancy
Sprinklered
V
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5- ADDRESS
ZIP
Main Floor
Upper Floors
Garage Ar;7
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basemei
6.
No. Baths
No.
Stories
No. Rooms
No. of Dwell
TYPE NEW ❑ALT. I--] AD'N. ❑ RPL. El MVE.
7. OF I� ❑ OTHER
-1 . ❑ PLMB. ❑ MECH. ❑ M.H. POOL
CERTIFICATE
Req'd.
Recd.
Notf`R�e
WORK
of EXEMPTION
DESCRI E W RK !
Enum. Dist. I Location (Area)
FEES COLLECTED
VALUATION 5 URCE
GAS
LECTRIC
WATER
SEWER
Ownership E CODE
9- 7 (��% UTILLITIES
C
(U
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. S REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS f
SPECIAL CONDITIONS:
Plan Check
ans txaminer I
El
ec PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
_* 00
00-
C
43JJ.I
C;, Q r.
79
Other (Specify) ;;2 5
TOTAL $ `�f�'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'182s 444525
DATE ISSUED PERMIT NO.
*25.00d0_
TOTAL
NAME
DATE
E Jealltth��j
'
Planning
Fire Marshall
Co. Engineer
ans txaminer I
El
ec PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
_* 00
00-
C
43JJ.I
C;, Q r.
79
Other (Specify) ;;2 5
TOTAL $ `�f�'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'182s 444525
DATE ISSUED PERMIT NO.
*25.00d0_
TOTAL
�5-774