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1979, 12-28 Permit: 79-9604 Water Softener
r—� *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 1. t - / 2. 3. ADDRESSZIP LOT BLOCK I' BLOCK VBDIVIN� 1 \�• OWNER C �ACTORR/f�(`q p 4. _ " J ♦ . ADD S . tia €puarl. DESIGNER 5. LEGAL DESCRIPTION - SEE ATTACHED PHONE q -aria. PHONE Coag, -i a4'IL ZIP ggaoa_ PARCEL NUMBER/5 Required Set Backs In Feet I North 'South East (West Size of Parcel 1 Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. • PHONE Valuation I Building Area in 5q. Ft. ADDRESS ZIP OWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher 7. TYPE 0 NEW OF WORK BLD. ❑ ALT. 0 AD N. 0 RPL. ❑ MVE. 0 PLMB. ❑ MECH: ❑ M.H. 0 POOL0.OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. VALUATION 9. Source • of Utilities GA 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 DEPT. SPECIAL APPROVALS REO'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE %R FFICIAL APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL DO $ 3p PERMIT NUMBER DATE 03* *300 *500 t5 *3006 E *000 8 9603a - 12-28'4.79 2 6479. CC 0 — w fa - V) z WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 12:.=0 1719' 9'6 0. 4 Z 5.0i0 8 �. • 1 DATE - REMARKS T5-'5 U.IMPIX©711CAga. rf• L.PC; -5-r • • ; ; • • ; ; _I• ; ••••-• ; Uti3 10 t-, Final Inspection INSPECTED BY 15-59—.16 F400c 8, 0 2 *200c u u 4.7 00 -