1980, 02-11 Permit: P80-1056 SoftenerPLAN NUMBER
JOB ADDRESS
1 LOT I BLOC
2.
OWNER
3 ADDR S
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
LEGAL DESCRIPTION SEE ATTACHED
SUBDIVI ION PARCEL NUMBER/S
-931
4' ADDRE(!5)
,B
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
W*M
P ONE
a yrs�7
ZIP
PHONE
4I // `76
PHONE
ZIP
TYPL ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Required Set Backs in,Feet
North South East West
Size of Parcel -
Zone Classification
7, OF _ ❑ OTHER
-- -
WORK O.BLD_",-PLIVI6-0-MECH�❑-M:H:---❑'POOL-"-` --`-`_
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
$. Aiy� -
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPL ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF _ ❑ OTHER
-- -
WORK O.BLD_",-PLIVI6-0-MECH�❑-M:H:---❑'POOL-"-` --`-`_
---CERTIFICATE---- --
eq_d._--.Recd.—Not-Req,d.
of EXEMPTION
DESCRIBE WORK
$. Aiy� -
FEES COLLECTED
VALUATION S rce GAS ELECTRIC WATER SEWER
g, utilities
Single $
1 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
Building
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
Plumbing
performance of construction.
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify) ;l
Utilities -
yl
ov
TOTAL $
Zone Clearance
'
WHEN.MACHINE VALIDAT
SEPA Checklist
THIS B CO S A ERMIT.
DATEQI�MFFICIAL
7.
.T APPROVED FOR ISSUANCE
PERMIT NUMBER
PtO�(0
DATE
03* *300
*3.00 �
*3.00
E *000
105,5
02-11'80
6479. --
Or
r
3 IN THIS SPACE,
105.62 *3,00.00.I--.
0
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