1979, 08-03 Permit: 79-1500 Water SoftenerPLAN NUMBER
JOB ADDF
LOT I B
2 OWNER
3.
ADDRESS
i
CONTR C-
4' ADDRE
DESIGNER
5. ADDRESS
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
SUBDIVISION PARCEL NUMBER/S
W, am /A M -M, M I - ".
CHANGE OF USE FROM ITO
6.
PHONE
PHONE
zl
PHONE
ZIP
TYPE ❑ NEW y❑ ALT. 1:1AD'N. 11 RPL. ElMVE.
7 ❑OTHER
WORK ❑ BLD. grIPLMB. 11MECH: ❑ M.H. ❑ POOL
DESCRIBE WORK
/ / i . 1 -
equired Set E
orth
ize of Parcel
Type Const.
aluation
Split Entry
No. Baths
CERTIFIC
of EXEMP
in Feet
TION
Zone Classification
Occupancy
Sprinklered
Elyes [-]No El Req'd.
of
Building Area in Sq. Ft.
Basement Area
Garage Area
Storage
utilities
Split Level
Rancher
Single $
No. Floors
No. Rooms
Rec. Room
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 thisBuilding
ATE
Req'd.
Rec'd.
Not Re
3d v
Plumbing
performance of construction.
DATE SIGNATURE—
Mech.
FEES COLLECTED
VALUATION
Source
WATER
SEWER
of
9,
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 thisBuilding
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
3d v
Plumbing
performance of construction.
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
Zone Clearance
Checklist
TOTA L $)—
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
Q
DATE OFF A�1,
e v /
AonI CP n CAD IccnAnlrr
PERMIT NUMBER
DATE
3* *3.00
* 3 0 0
*3006
A *000
1 4 9.9 11
08-03-79
;F 6479,
n