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,