1980, 06-13 Permit: 80-5800 Spa BuildingPLAN NUMBS
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
i.eOB ADDRESS
e 5,.7//
LOT
2.
BLOCK
SUBDIVISION _
3.'
4.
5.
NER �+ ,
.?-F..-c.).-t2- • `%�l�
ADDRESS 3
CONTRACTOR PHONE
/1 -
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/Si�'�,/�,��{��G
1.1 iv' A e.217..4,-- 7 £3 -K 7
PHONE 44' let/ OF . -ez4 r., fret- /4,4, 0A- acti
ZIP
F�f1DRESS
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Actual Set Backs in Feet
North r%, ISouth d,)
East :2--11 West 4Ac.�'
ZIP
PHONE
ZIP
of Parcel J Zone Classification
ill) AC ,lam %-- (.,A. ' 0.4.(,L 1c � .
Type Const. Occupancy Sprinklered
❑Yes ❑No CI Req'd.
Size
Valuation `s,
Building Area in Sq. Ft.
it r
Main Floor Upper Floors Garage Area
I`i �,
Area of Decks
NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
O MVE.
O POOL
❑ OTHER
8.)ESCR p WORK
1��44
,�r VALUATION SbURCE
y z""`S UTILITIES
OF
GAS
ELECTRIC
WATER
SEWER
No. Baths
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Location (Area)
Enum. Dist.
Ownership
Public ❑ Private
Storage
Unfin. Basement
No. Rooms
1
Req'd.
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 APPLIC,.TION /) SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
En
alth
, /�3
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B Idin Te ma
SPECIAL CONDITIONS:
1/Pu * ,"1*11.,41— , �-�. 4C71-‘44.."4/44
�,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd.
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
e--..5pioc,
02*
*3800
*3800 17)
5 c
06-10-80
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 6i`; il'3�L8 0
DATE ISSUED
PERMIT5NO.0' 0
*38'-)0fl0-J
fB.L
1:3414.1.4