1982, 08-09 Permit: 82A-6916 PoolPLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
f3:2-F� 'Coci
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0 2 * * 2 5, 0 0
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
y
LEGAL DESCRIPTION — SEE ATTACHED
//.;? --2
* 2 5 0 0 n
LOT
BLOCK
SUBDI SON
PARCEL NUMBER/S
2 /WNER
`_3 !/ dC 6J/ / g
(
A * C 0 0 cc)
PHONE
3
691.52
08-09-82
6.479
ADDRESS
ZIP
919�o 4
Actual Set Backs in Feet �J
North / South 31 East O West
CONTRACTOR Q
PH NE
�'9a5o
Size of Parcel
Zone Classification
/ 0 s -T
4' ADDR9SS
ZIP
Type Const.
occupancy
Sprinklered
3 2 i8 �� `
n
M 'Z
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
V ation
Building Area in Sq. Ft.
t 4X:>0%
1oW-Z � Sr(.
_
5
ADDRESSZIP
Main Floor I
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 ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
e—
}
7. OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ®POOL
CERTIFICATE
Req'd.
Recd.
Not R�q'd.
WORK
of EXEMPTION
i /
DESCRIBE WORK !
S POO
Enum. Dist.
Location (Area)
FEES COLLECTED
8. Lc..) i M M! N I
VALUATION1 SOURCE I GAS ELECTRIC WATER SE R Ownership USE CODE
j UTILOITIES Public ❑Private
9. 1 4 , 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 k— :27 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
ng
larsha
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu' �'ngTnician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify) �� +
TOTA L $ 2 S'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
=,82. 691.,'62
DATE ISSUED PERMIT NO.
*25.00 a� -
TOTAL
I
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