1979, 08-29 Permit: 79-3068 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
1.
2.
3.
J 8AD RESS
LOT BLOCK
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
SUBDIVIS)O
OWNR
ADDR= •5
9:2,2
7.27/-7:7t
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs In Feet
North 'South (East 'West
4.
CONTRA
PHp�NNE
mf r% //7?
Size of Parcel 1 Zone Classification
ADDTtESSr /l2 5
70 7
DESIGNER
5 ADDRESS
Type Const.
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.
TYPE
7. OF
WORK
8.
9.
TO
Split Entry
Split Level
Rancher
❑ NEW
O BLD.
DESCRIBE WORK
VALUATION
❑ ALT. 0 AD'N.
PLMB.
0 MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
Source
of
Utilities
GAS
ELECT
0 OTHER
�-t
No. Baths
No. Floors
No. Rooms
Rec. Room
WATER
CERTIFICATE
of EXEMPTION
SEWER
Req'd.
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
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATi�2a
//7, OFFICI
APPROV R ISSUANCE —
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
c,
PERMIT NUMBER
306e
7 - 7f
03* *300
*300
*/3.00'6
A *GOO
30672
08-29-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISinCOI F,S IA �E,jiMIT.
306$2 *3,00°I
RECORD OF INSPECTIONS
REMARKS
Final Inspection
INSPECTED BY
qtr A6
r� 0 T .\ S
H
OCL a
*300
02. *200