HomeMy WebLinkAbout1981, 01-12 Permit: 81A-345 Water SoftenerPLAN 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
LO I BLOC SUBDIVIS O
2
OWNER
3 0 , Ce7
ADDRESS
PHONE
92/»( k/
ZIP
zee;
PHONE
ZIP
Ant
ADr∎RESS
DESIGNER
6.
3
ADDRESS
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Valuation
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
CHANGE OF USE FROM
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
DESCRIBE WORK
❑ ALT.
PLMB.
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
VALUATION
9.
SOURC
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Main Floor
Upper Floors
Area of Decks
No. Baths
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Storage
Unfin. Basement
No. Rooms
Req'd.
Location (Area)
Ownership
Public ❑ Private ❑
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/-Z.--Pl SIGNATURE OF APPLICANT
No. of Dwellings
Rec'd. Not Req'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checklist
Building Technicia
41Z 0
SPECIAL CONDITIONS:
iOL- °' 1 &I
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Q �
TOTAL $
of
PERMIT NUMBER
7tf/t 3`J
03* *3.00
*300 N
*3.006
A *000
3G.4�
01 -12 -81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01.t 1.2i 181
3.45
DATE ISSUED PERMIT NO.
*3OOaI-2 —
TOTAL