1981, 05-08 Permit: 81A-4522 Spa HeaterPLAN NUMBER PERMIT NUMBER
APPLICATION/ PERMIT
i
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
`--1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JO ADDRESS
�i R ��� �� LEGAL DESCRIPTION — SEE ATTACHED
OWNER0 n �A ,,,II PHONE
�
3. • M -Vi Oix - (v0
AD SS I�j Actual Set Backs in Feet
Gam- y orth South East
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes [—]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
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 ErNEW ❑ ALT. ❑N. ❑ RPL. ElMVE.
7, OF _/ E)OTHER
WORK 1:1 BLD.. ElPLMB. LL"JJ MEC H. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd
of EXEMPTION
DESCRIBE WOfTIEnum. Dist. Location (Area)
8j I M FEES COLLECTED
fj
VALUATION SOURCEGAS ELECTRIC WATER SEWER Ownership USE CODE
OF 9. UTILITIES Public EI Private ❑ Single $
1 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 INSPE TIONS Plumbing I�
DATE OF APPLICATION SIGNATURE OF APPLICANT ` Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning I
Fire Marshall 1
Co. Engineer -
s Examiner
Building T�dhnicia 1
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify) �J
TOTAL $ `
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
008'81 45222
*'1,00 - --