1980, 04-17 Permit: 80-3639 PoolPLAD! NUMBER
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
JOB ADDRESS
LOT BLOCK SU,ADIVISION
2. S
3
LEGAL DESCRIPTION — SEE ATTACHED
l6.4 1, 4,
ADI RESS
e: aG29
COTRACTOR
4.
ADDRESS
DESIGNER
5.
ADDRESS
PHONE
ZI P
y92o�y
PARCEL NUMBER/S‘3,3,3-43- 6)94A.5-
tio ,,(34.</JARC,y ,E3T.4TF,.S
Actual Set Backs in Feet i
/
North 7 !South East h / !West ....id
PHONE
Size of Parcel
L1,5 k
ZIP
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation Building Area it Sq. Ft.
COOL -2Z DiAMe-r4R
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH,
❑ RPL.
❑ M.H.
❑ MVE.
XPOOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
,DESQCRIBL' WOFjK
�l VALUATION SOURCE GAS ELECTRIC WATER
9,1(26Q� UTILITIES
Enum. Dist.
ILocation (Area) 1
SEWER
Ownership
Public ❑ Private 1't'
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION "/ 7-8 2 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
r'] NAME DATE
Env Hlz
Planning
im-et 00
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buding Tec nicia
ipt
Ja(
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PCRMIT NUMBER
�0-319-39
02* *2500
*2500 N
*25006
E *0.00
363.88
04-17-80
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
OV -17--:c0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
363:92
PERMIT NO.
TOTAL
-
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1
LOT 2
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k.
53,
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Lor
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of f -h E'. SW �I/.f sec, 33, T 2514, )4Q EW.m., kNo..1N AS s 10624- 'y4'" AVE.
SPo CANE COQNTY, WA.
PARCEL NomdER 335-y3-O40E
70 f?CCoePgMY RN RPP}KATION Fog. 5w!MM./JG POOL PE1tM+T
Ey Pr. RUSH
1
-CRLE 14 r. to
Prg, 4-16-50%