1980, 12-09 Permit: 80B-4608 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
JOB ADDRESS
1.
�� ��a55 6- LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK ISUBDIVISION PARCEL NUMBER/S.
2.
OWNER % PHONE
PERMIT NUMBER
gab -AGopn _' I 1'
,
03* *3.00
*3.00
*3.006 '
A *'0 0 0
ADDRES
ZIP
Actual Set Backs in Feet- .
4 6 0 6 z
North South East
West
CONTRA OR
PH0NE.6,1- 7 k
Size of Parcel
Zone Classification
2 -09-80
4'
/76
6479,
ADD %
CZE' , !lp
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ElReq'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. 'Ft. -
5'
ADDRESS
ZIP
Main Floor
Upper Floors.
Garage Area
Storage
_
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
CONo.
TYPE NEW ❑ ALT- Yf AD'N. ❑ RPL. ❑ MVE.
Baths '
No. Stories
No. Rooms.
No. of 'Dwellings
], OF ❑ OTHER
❑ BLD.PLMB. 1-1MECH. ❑ M.H. 11POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
8.
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILOITIES
Public ❑Private ❑
Single $
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
Building
to give -authority to violate or cancel the provisions of any other state or local law regulating construction.or the
me
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT NS
Plumbing
/
DATE OF APPLICATION SIGNATURE OF APPLICA
MecH.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
CL
Planning
O
V
Fire Marshall
Mobile Home
LLJ
Co. Engineer
`
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Buil ing Te hnician
PERMIT IS NONTRANSFERABLE
.f 1
12 i @;;Q 18.0 is
Z, .-.. * :
(�16 a 8: 3' 0 0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL