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1979, 10-19 Permit: 79-6367 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 2. BLOCK . 93/19('x,1.4 • UBDIVISION LEGAL DESCRIPTION.- SEE ATTACHED 3 OWNER PARCEL NUMBER/S ADD 5 K3/id 4. 5. CONTRA I"OR - c� clIC-10,1/ 9d AD DESIGNER ADDRESS PH NE ZIP 011)-6 PHONE ZIP Required Set Backs in Feet North !SouthEast (West Size of Parcel Zone Classification - Type Const. Occupancy Sprinklered ❑Ves ❑No 0 Req'd. Valuation Building Area in Sq. Ft. OWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK ❑ NEW ❑ A T. 0 BLD. PLMB. O AD N. ❑ RPL. 0 MVE. ❑ MECH: 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Reed. Not Req'd. DESCRIBE WORK 8. VALUATION 9. �-fruit 'd GAS ELECTRIC of Utilities WATER SEWER I hereby certify that I have read and examined this applica ion 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: DAT OFF AP `CI i FOR ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ P PERMIT NUMBER 77- J DATE 03* *300 *300 *3006 E *Q00 8 63662 10-19-79 2 6479. r• C 1- U — w 0 N WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. .101-;i19,'- 71 91 6'3'6.72 *,3.0.0,aPI,