1982, 06-29 Permit: 82A-5535 PoolPLAN NUMBER —
JOB ADDRESS
1.
LOT
BLOCK
2.
OWNER _
3. TO )M C
ADDRESS
L, 100-2
CONTRACTOR
4. L� u,S'no ren.
ADDRESS
/�
N. • wq ?t
DESIGNER
5. ADDRESS
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
lob ;
LEGAL DESCRIPTION - SEE ATTACHED
UBDI ISION
PARCEL NUMBER/S KC��GC7t �G Yt>cssC+S� T�
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
PHONE
Lo7 i3. IC 2�
A�rJ1A 0
...._
---,
TYPE
No. Baths
No. Stories
Z�IP
Actual Set Backs in Feet
i+f�T�
"t�j
North South i e East West Yv'
Nth
�, OF 1-1 OTHER
El ❑ ❑ ❑
PHONE
Size of Parcel
Zone Classification
Not Re 'd.
WORK BLD. PLMB. MECH. M.H. POOL
642-93 5�.t
87 l3f
Su
]Ownership
ZIPr
Sprinklered
1✓
DESCRIBE WORK
Enum. Dist. Location (Area)
oocccupancy
l' \-2
❑Yes ❑No ❑ Req'd.
I
FEES COLLECTED
PHONE
Va4Wation
Building Area in Sq. Ft.
ELECTRIC
WATER
SEWER
T' ,�
%
ZIP
Main Floor
Upper Floors
Garage Area
Storage
9. UTIOF
LITIES Public E3 Private Single $
1 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION G �Z/ SIGNATURE OF APPLICANT ` Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
D � cceoa-
anning
ire Marshall
o. Engineer
tilities
lans Examiner
SPECIAL CONDITIONS:
la
ician PERMIT IS NONTRANSFERABLE
Ci' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMIT NUMBER
J2* *2E 00
*21700
(, *C 00
v r z
06-29-82
6475
SEPA
c:a
c.�
Mobile Home
ti.
Other (Specify) Z5 -',4V
TOTAL $ — ° cn
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
5 53.`5Z *'2 5. -
DATE ISSUED PERMIT NO. TOTAL
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
____
...._
---,
TYPE
No. Baths
No. Stories
No. Rooms
No. of Dwelling!
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
�, OF 1-1 OTHER
El ❑ ❑ ❑
CERTIFICATE
Req'd.
Recd.
Not Re 'd.
WORK BLD. PLMB. MECH. M.H. POOL
]Ownership
of EXEMPTION
1✓
DESCRIBE WORK
Enum. Dist. Location (Area)
8. kbX'3-1
I
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
USE CODE
9. UTIOF
LITIES Public E3 Private Single $
1 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION G �Z/ SIGNATURE OF APPLICANT ` Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
D � cceoa-
anning
ire Marshall
o. Engineer
tilities
lans Examiner
SPECIAL CONDITIONS:
la
ician PERMIT IS NONTRANSFERABLE
Ci' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMIT NUMBER
J2* *2E 00
*21700
(, *C 00
v r z
06-29-82
6475
SEPA
c:a
c.�
Mobile Home
ti.
Other (Specify) Z5 -',4V
TOTAL $ — ° cn
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
5 53.`5Z *'2 5. -
DATE ISSUED PERMIT NO. TOTAL
-,IOU lao Z -
U( I 't"Oo
S, //Co�)-
' 26 g ys
s �
P�A �(�t/
V)oj
0
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