1984, 03-29 Permit: 84A-2713 PoolPLAN NUMBER APPL CATION/PERMIT
SPOKANE COUNTY = DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREETA DRESS PARCEL NO.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Utilities
SEPA
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plans PERMIT IS NONTRANSFERABLE
Earn. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildIN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
PE MIT NUMBER
/ - -2- .11-3-
'2,
t-3-
2 } DO
Other (Specify)
P60 (L—
r4.a-
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATI 44 SL EIi ' L PERMI"9.1i 3 z
*2 5.0 0 °aarrAL
WNER y� 1 F
E uia_l
PHONE
P ONE
t�r2 .- U
3.VAV�
MAILING ADPRFESS
ZIP
Cj
Actual Set Backs in Feet to:
T' "2�
�j
_
North South East10"
West Gm
CONT ACTOR
LICENSE EXPIRESPy,O
t'l —
Si eofParcel _i
Zone Classification
Residential
Com me rci ❑
4.
ADDRESS
Ty. Occupancy
pe t
Sprinklered
❑Yes ONO ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N.
❑ RPL. ❑ MVE.
7.
OF
❑BLD. ❑ PLMB. ❑ MECH.
�9JJTHER
❑ M.H. 9 POOL
wvariarExempt.
Required
Yes❑ No
Number
WORK
Received
Yes❑ No❑
DESCRIBE WORK ^
/ 6 , Isi ?V0 1
1s
Shorelines/ Flood Hazard
Plans Required ❑
8
— �� f�
L v,BLIC
yes Not Applic. ❑
Received ❑
VALUATION
SOOURCE
GAS
ELECTRIC
PUATE; /
SEPTIC E.
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER
Public ❑ Private ❑
I hereby certify that I have read and examined this application and have read the "NOTICE"
provisions included on
reverse side, and know thj a to be true and correct. All provisions of laws and ordinances governing this type of
Building
work will be complied witther specified
herein or not. The granting of a permit does not presume to give au-
thority to violate or canceprovisions of any
other tate or local law regulating construction or the performance
of construction. SEE RE SIDE FOR
IR INSPECTIONS
Plumbing
SIGNATURE OF ((��1
i rnno An�wiT _. J�..f'�
/ � APPLICATION j/„ �.^ /gZ
�/f �1) w ._!l�_Y� �nATF �1 /J %
Mach.
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Utilities
SEPA
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plans PERMIT IS NONTRANSFERABLE
Earn. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildIN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
PE MIT NUMBER
/ - -2- .11-3-
'2,
t-3-
2 } DO
Other (Specify)
P60 (L—
r4.a-
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATI 44 SL EIi ' L PERMI"9.1i 3 z
*2 5.0 0 °aarrAL
�—~ ( (( I Z— — ; SI�L
���------- Gam'
r�
or