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1980, 03-04 Permit: 80-1753 Pool HeaterPLA" NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS e re 71Y -Sty,` LEGAL DESCRIPTION -SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/5 2. I i OWNER PHON 3 ?fid 3. �L�C .Si.j:ti�ry�ic s� a%r 105'g— ADDRESS ZIP Required Set Backs in Feet North South East West CONTRACTOR PHONE Size of Parcel Zone Classification ly? , r't z [ir�.S .s ���.- vo -.7.6.6 5 4. ADDRES ZIP Type Const. Occupancy Sprinklered / L �j"' 3 / r d e c -j o !// vT �.y�' / ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE E] NEW El ALT. 1:1AD'N. ❑ RPL. ElMVE. 7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd. ❑ BLD. ElPLMB. ❑ MECH: ElM.H. El POOL WORK of EXEMPTION DESCRIBE WORK 8.wigti77r •s % i /•r �� 6Ci" lJ�� t�����r l/ VALUATION Source GAS ELECTRIC WATER SEWER of 9, Utilities 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. •� — Y .��� s.tAC�'� . DATE SIGNATURE SPECIAL APPROVALS SP AL CONDITIONS: DEPT. REQ -D. RECD. Env. Health � 0�� J 000 Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist DAT LVED A ` FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing /aLMech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER c /753 04* *1&00 *1x00 N *1a0061 E *0.00 00 17522 03-04-80 2 6,479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS DEQ U $i A PEf�MIT. i. ` q,i (I '. l '� *18.00o�-, CC 0 U-1 2 z