1980, 07-11 Permit App 80-6964 Piping in Hot TubPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
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PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2.
JOB ADDRESS - (14-71_Q
LOT
B OCK
SUBDIVISION
OWN/ER
�
3 ADDRESS
/
RACTOR� ✓
C A/17e eF
5.
/sY0 ga,41
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ADDRESS
I 7
DESIGNER
PHONE
yZIIP
/yP�HONE
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East 'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No D Req'd.
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
❑ NEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
0 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 5rIFPl60t_
SCRIBE WORK
8/J 4 -i,,
ION
9.
Area of Decks
No. Baths
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
Req'd.
Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑Private El
USE CODE
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 _ /(
SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
30,
-76 A- to / , a - 5 7W
A- ,-2?-1/:11/ ,r1:41
Unfin. Basement
No. of Dwellings
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 6
04* *400
*.6 0 0
*4,006
E *0.00
6963
07-11-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
�!l lll`8'0' 696.4z *6,00 aJ—
DATE ISSUED PERMIT NO. TOTAL