1980, 04-24 Permit: 80-3956 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
LOT
BLOCK
,VO (SIO a"T
LEGAL DESCRIPTION — SEE ATTACHED
OW
3
ADD
CO
4'
ADDEs.g. SRA" CIA)-Q--
CO
om_
z
OR
DESIGNER
PHONE
ZIP
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
C209..
PHONE
ZIP
PARCEL NUMBER/S
Required Set Backs in Feet
North (South [East 'West
Size of Parcel
Type Const. Occupancy
Zone Classification
Sprinklered
❑Yes No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
DWL Area Basement Area Garage Area
Split Entry
Split Level
TYPE
7. OF
WORK
NEW
0 BLD.
0 ALT.
ragI PLMB.
❑ AD'N.
O MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
DESCRI=E WORK
VALUATION
9.
Source
of
Utilities
}
GAS
No. Baths No. Floors
CERTIFICATE
of EXEMPTION
WATER
SEWER
Storage
Rancher
No. Rooms
Rec. Room
Rec'd.
Not 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
HOME OWNER'S WARRANTY
VES ❑
NO
SPECIAL CONDITIONS:
DATE
OFFICIAL CI CLAVA FYI
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing • 0.°
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
DATE
03* *3,00
*3.00
*3006
E *000 n
3955
04-24-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOME$ A PERMIT.
0`4.-24''18'0 395.62 *3,0'0,°