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1981, 05-15 Permit: 81A-4781 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 3 COPIES 1. 2. 3 4. JOB ADDRESS LOT B pCK SUBDIVISION LEGAL DESCRIPTION — SEE ATTACHED ADDRESS c ("1,114-1,1 CONTRACTOR Orl' ifik02% i ADD ESS - i1et9 DESIGNER 5. ADDRESS PHONE ')9O 7 PARCEL NUMBER/S Actual Set Backs in Feet North 'South East West PHONE Size of Parcel Zone Classification ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK El/NEW 0 BLD. ❑ T. ❑ AD'N. 0 RPL. PLMB. 0 MECH. 0 M.H. ❑ MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRt nr WOR � 8. - VALUATIO 9. Enum. Dist. ILocation (Area) SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Ownership Public ❑ Private 0 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 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 INSPECTION DATE OF APPLICATION 5 SIGNATURE OF APPLICAN\ 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 FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 041 TOTAL $ _ f PERMIT NUMBER 4tA-. -�'l 0` * fj * 500 to - * 000 4780? 05-15-81 6.479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 /5;-1 5; _1 .11 DATE ISSUED 478.152 PERMIT NO. *5 T0.00 O AL FII F (fPY