1981, 05-15 Permit: 81A-4785 Water SoftenerV
Arm -luau Korai rnnmu 1
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2,
JOB ADDRESS
1,11 rA1411N
LOT SUBDIVISION
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
3
4.
5.
OWJR Jj IR • rl VI 1
RIZ.1911 ',i -t pAtAl1J
CONTRACTOR
PHON
; ONE
'S FOSV
Actual Set Backs in Feet
North 'South
Size of Parcel
East
'West
Zone Classification
ADO RES;
E - -25 t,c12
DESIGNER
ZIP
99 '2 --
PHONE •
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
li NEW
D BLD.
❑ZT. ❑ AD N. 0 RPL. 0 MVE.
CJ PLMB. 0 MECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
DESC(f IBE WORK
8.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS ELECTRIC
Enum. Dist. I Location (Area)
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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
Env
Planning
Fire Mai
Co. Eng
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
,OD
TOTAL $ OO
P� �iA47g�
03* *500
*500
*5006
A *000 8
478.48
05-15-81
64-79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'O I!r
DATE ISSUED
478.52
PERMIT NO.
*5.0'0°n P'
TOTAL