1979, 07-17 Permit: 79-580 Water SoftenerPLAN NUMBER
APPLICAAAAAION/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
/c
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNE
3.
ADDRESS
PHONE
ZI P
Required Set Backs in Feet
North (South [East (West
4. —
CONTRACTOR
PHONE
SSS=7OS7>
Size of Parcel 1 Zone Classification
ADDRE
DESIGNER
5. ADDRESS
ZIP
2—
PHONE
Type Const.
Occupancy
Sprinklered
Eyes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
ZI P
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
LI OTHER
No. Baths
No. Floors 1 No. Rooms
Rec. Room
CERTIFICATE Req'd.
of EXEMPTION
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 'e' SIGNATURE
DEPT.
SPECIALAPPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE1 - /,OFFICIA
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
PERMIT NUMBER
79- 6 -SO
03*
* 3.00
* 3,00 t
5792
07-17-79
2 0479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-17.-79
58.Oz *3,00°