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1981, 05-26 Permit: 81A-5052 Water Softener
PLAN NUMBER v) 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 1. 2. 3 JOB ADDRESS LOT BLOCK L) SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED OWI , ADDRESS OP CONTRACTOR r 2� • (� ->d–/-?l- 4. ADrr be- DESr6NER 5. ADDRESS ,5576 % P ONE X! 6 ` 6 7 ZIP cv/6 PARCEL NUMBER/S Actual Set Backs in Feet North 'South East 1 West PHONE--gfj/'Q174. Size of Parcel Zone Classification ‘P4 --)-c) Type Const. Occupancy Sprinklered ❑Yes ©No ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK ArNEW ❑ BLD. ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. Enum. Dist. I Location (Area) VALUATION 9. SOURCE OF UTILITIES j GAS ELIC WATER SEWER Ownership Public D 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 auth.prity to violate or cancel the provisions of any other state or Ioca law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC SNS FEES COLLECTED Single $ Building Plumbing DATE OF APPLICATION '3 /3-1(f7 SIGNATURE OF APPLIC �jf.>iJ.-o '!c- N L /,'%;� ech. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) ifs TOTAL $ PERMIT NUMBER 03* *5.00 *5.00 *5.006 A *0.00 505.1 R 05-26-81 z 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 015 2 67'8'1 DATE ISSUED 505.2`Z PERMIT NO. *5.QOaH