1979, 07-17 Permit: 79-560 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
LOT
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
BLOCK
c3/•—•?
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
3
OWNER
ADORES
CONT CTOR
4' ADDR S
DESIGNER
5.
ADDRESS
6.
CHANGE OF USE FROM
TO
PHONE
ZIP
PHONE
4/53= fossa
ZIP
PHONE
ZIP
PARCEL NUMBER/S
Required Set Backs in Feet
North
Size of Parcel
Type Const.
South
Occupancy
East 'West
Zone Classification
Valuation
DWL Area I Basement Area
Split Entry
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
TYPE
7. OF
WORK
9.
❑ NEW
❑ BLD.
DESCRIBE WORK
VALUATION
❑ ALT.
}�I PLMB.
❑ AD'N.
O MECH:
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
744-sC.viti
Split Level
No. Floors
Storage
Rancher
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd. I Rec'd. rot Req'd.
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
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env_ Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
•
DATE -747-77 OFFICIALe4at#44A
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing_
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
DATE
!PERMIT NUMBER
03*
/ 7 79 7 �1
*300
*300
5598
07-17-79
g 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-17-79
5Oz *3.00°H
CC
U
LA -1
0-