1981, 02-18 Permit: 81A-1606 Water SoftenerPLAN NUMBER
0/
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
JOB ADDRESS
1. ti. oizm LflllLOO
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
3. AUL. D Y.tp_tc
ADDRESS
f .C1222J CpThLa3
PHONE
a-z4-afAs
ZIP •
Rt12 La
Actual Set Backs in Feet
North 'South
East
'West
4.
5.
CONTRACTOR
Cpart Li)iitEP SCF.U1Ce.
PHONE
Size of Parcel 1 Zone Classification
•
ADDRESS
E • ZJ
DESIGNER
ADDRESS
249 -
ZIP
RCA 2L2
Type Const.
Occupancy
Sprinklered
Eves ❑No E Req'd.
PHONE
Valuation 1 Building Area i Sq. Ft.
ZIP .
Main Floor
Upper Floors I Garage Area
Storage
6.
TYPE
7. OF
WORK
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unf in. Basement
dNEW
0 BLD.
EJ ALT.
S6 PLMB.
E AD N.
E MECH.
E RPL.
E M.H.
❑ MVE.
E POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. SOFT LIiPrf T _
VALUATION
SOURCE
OF
UTILITIES
Enum. Dist.
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
9.
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 SIGNATURE OF APPLICANT
. SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
•
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing It 5.c -c3
Mech.
Plan Check-
SEPA
Mobile Home
Other (Specify)
TOTAL $ 6 GC
PERMIT NUMBER
elA-Kon(„
03* _ *500
*5.0,0
*5000
A *Q00 8
16058
02-18-8,1
g 6479.
WHEN MACHINE VALIDATED.IN THIS SPACE,
THIS BECOMES A PERMIT.
pZi 1811/4A'i? 168'6 Z: *5'00a�, —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
›-
0-
0 0-
U
W