1982, 08-10 Permit: 82A-6994 PoolPLAN 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
• (-050-/
LOT
2. Co
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
v�►ci.E`{ 6W 1rk��Cs LST
OWNER
3. 11v :w� P• "• .••- - uGi �
4.
ADDRESS
E• 6, "?
PARCEL NUMBER/S
PHONE
— � `2.5 .3 -oxo
ZIP
Actual Set Backs in Feet
North .� lsouth
East 2 C- West
CONTRACTOR
k N
ADDRESS
PHONE
Gts
Size of Parcel
Uraxt,
DESIGNER
5' ADDRESS
6.
CHANGE OF USE FROM
TO
ZIP
PHONE
ZIP
TYPE
7. OF
WORK
IJ NEW 0 ALT.
0 PLMB.
0 BLD.
O AD'N.
O MECH.
❑ RPL.
O M.H.
❑ MVE.
POOL
0 OTHER
Type Const.
Zone Classification
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
2
Valuation Building Area in Sq. Ft.
Main Floor
Upper Floors
Area of Decks
No. Baths
DESCRIBE WORK
8. - vI i vv.lv.tiCt —Pc -)c:4
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF
9.4t0.00>CD UTILITIES �G< <�-
..�k(-
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 reg9lating construction or the
performance of construction. SEE ' VERSE SIDE FOR REQUIRED INSPECTI.NS
+4ec, 3�7
Garage Area
Finished Basement
Storage
Unfin. Basement
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Rec'd.
Not R '
Ownership
Public CI Private
USE CODE
DATE OF APPLICATION SIGNATURE OF APPLIC
SPECIAL APPROVALS
NAME DATE
Env. alt
/6
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklist
B mg Technician
-,gig
SPECIAL CONDITIONS:
i
s
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
--Mech.
Plan Check
SEPA
Mobile Home
Other (Specift2S
TOTAL S
PERMI-if NUMBL7R
02* *2500
*25.00'6
A *0.00 S
68292
08-05-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.8 -4 e
DATE ISSUED
82 699,45
PERMIT NO.
*2500a17!
T0 -At
c