1981, 08-18 Permit: 81A-8217 Install SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
2.
JOB ADDRESS
LOT 1 BLOCK
OWN
3.oSS
ADDR 5S
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
5U6D1ISI ON
4.
5.
CONTR •.' OR
ADD
DESIGNER
l%eeQf 2e/c)
or x/0357
ZIP
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PHONE •
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
East - 'West
Size of Parcel Zone Classification
Type Const.
Valuation
Occupancy Sprinklered
❑Yes 0No 0 Req'd.
Building Area in.Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage '
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
❑ NEW 0 ALT.. 0 AD N. ❑ RPL. ❑ MVE.
0 BLD. 1aPLMB. 0 MECH. 0 M.H. —D POOL
DESCRIBE WORK ,lC/
8.
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
'Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
Eli'CT RIC
2V
WATER
SEWER
Ownership
Public 0 Private 0
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 loc.I law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC ONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
an
SIGNATURE OF APPLIC
PECIAL 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)
t?)
TOTAL $�
PERMIT NUMBER
FAA-- 82•j-7
03* *500
*500 VI
*5006
A *Q00 8
821.62
08-18-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT .
,0'181—! 1t ;$.11T
8217 Z *5.0'0. Da
DATE ISSUED , PERMIT NO. TOTAL
0-
Li -
WHEN
LL