1982, 12-28 Permit: 82B-2276 Soft WaterPLAN 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. N 4904 Evergreen Spokane
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
John Pfeifer
PHONE
928-4844
PARCEL NUMBER/S
ADDR SS
N 4904 Evergreen
2199216
Actual Set Backs in Feet
North (South lEast (West
4.
CONTRACTOR Systems
PHONE
328-6651
Size of Parcel 1 Zone Classification
ADDRESS
W 507 Indiana
ZIP
99205
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation (Building Area in Sq. Ft.
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
NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 OTHER
0 BLD. J.4$ MB. 0 MECH. 0 M.H. 0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Soft W ter
Enum. Dist.
Location (Area)
VALUATION SOURCE CE USE CODE
OF
UTILITIES
9. TIES
1 hereby certify that 1 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
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
DATE OF APPLICATION 1 2-27-82
SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
\eui .. r nic
n
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing 00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 5.00
PERMIT NUMBER
03*
*500
*500
227,5
n
I c-2 r,- ,G
6.479.
co
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12L28-8`2 227.65 *5.0020 -
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