1981, 04-09 Permit: 81A-3284 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
S. 2854 Bowdish
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
Durwood Albert
NE
PHO
928-7623
PARCEL NUMBER/S
ADDRESS
S. 2854 Bowdish
CONTRACTOR
Servisoft Systems
4' ADDRESS
W. 507 Indiana
DESIGNER
5.
ADDRESS
ZIP
99206
PHONE
328-6651
Actual Set Backs in Feet
North 'South East (West
Size of Parcel 1 Zone Classification
ZIP
99205
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
TYPE
7. OF
WORK
8.
9.
ysJ NEW
D BLD.
DESCRIBE WORK
VALUATION
❑ ALT.
• PLMB.
❑ AD'N.
❑ MECH.
SOURCE
OF
UTILITIES
GAS
❑ RPL.
❑ M.H.
ECTRIC
❑ MVE.
❑ POOL
WATER
❑ OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
4/8/81 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
k NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
1
v'
PERMIT IS NONTRANSFERABLE
P
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
5.00
$ 5.00
/0
PERMIT NUMBER
03* *500
*5.00
*5.006
A *000
328.38
04-09-81
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04.-0¢T$1 328,42 *5,00,2 _
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL