1979, 09-11 Permit: 79-3761 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 4 COPIES
JOB ADDRESS
1.
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
ADDR
4.
CONTR
Ler. t.eviS/7
s
/5CCTOR3 �_u�tc-tom
6t
ASS
K-.J 71'7
DESIGNER
5' ADDRESS
PHONE
Y/2
6/2 2
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
PH NE
Required Set Backs in Feet
North 'South East 'West
Size of Parcel
Zone Classification
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
0 ALT.
�'PLMB.
PHONE
ZIP
TO
❑ AD'N.
❑ MECH:
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
Type Const.
Occupancy
Valuation
DWL Area I Basement Area
Sprinklered
Oyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Entry
Split Level
Storage
Rancher
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
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. RECD.
Env. Healthf
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATEq—//-79OFFICIAL 4.424.1.,v`LZA,[-tc/"'
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
eei
TOTAL $ ��
DATE
PERMIT NUMBER
f- 79-37U7
-/i- 7%
oa* *300
*3.00 V)
*3.006
E *0.00
37602
09-11-79
2 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09—:111-79 376.12 *3,00°1=1