Loading...
HomeMy WebLinkAbout1979, 12-28 Permit: P79-9610 Water Softenerr ?LAN 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 4 COPIES JOB ADDRESS 6 a 1 ci cLui LOT 2. BLOCK SUBDIVISION (IQ LEGAL DESCRIPTION - SEE ATTACHED 3. OWNE ADDRES 1j oho D PHONE cpc -gam IP PARCEL NUMBER /S Required Set Backs in Feet North (South East (West TRACTOR 4. ADD V,7AS DESIGNER 5. ADDRESS PHONE (094 -13 ZIP qq a©a Size of Parcel Type Const. Zone Classification Occupancy { Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths CERTIFICA of EXEMPT( No. Floors No. Rooms TE ON Req'd. Rec. Room Recd. Not Req'd. 8. 9. DESCRIBE WORK C-00300_& VALUATION • Sou‘e of Utilities Q -) GAS ELECTRIC WATER SEWER 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. DATE SIGNATURE SPECIAL APPROVALS DEPT. REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE/44)g OFFICIAL ! CM 1. al \A/VL Ci'lJ APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ do PERMIT NUMBER -9b ID DATE *300 *3.00 *3.006 E *000 8 960,98 12-28-7.9 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. • 1,2- 2.8=719' 96105 *3.0.0,a� DATE REMARKS RECORD OF INSPECTIONS Final Inspection INSPECTED BY E CO, *_; 007: oc `� *200