1981, 01-12 Permit: 81A-353 Water SoftenerPLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
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. F E. 12104 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLUCKI Z>Ut:5UlVlblQN I PARCEL NUMBER/S
OWNER
JOHN E. FREDRICK
K
PM -1897
" AUL)KLbb ZIP Actual Set Backs in Feet
SAME 99206 North South East
CONTRACTOR PHONE Size of Parcel Zone Classific
4. SCET MUM SERVICE M 455-805
ADDRESS E. 25 Third AVE'
x"202
77
Type Const.
Occupancy
Sprinklered
[--]yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
til P
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE
No. Baths
No. Stories
No. Rooms
No. of Dwellings
NEW 1:1 ALT. K AD -N. 1:1 RPL. 1:1MVE.
% LJWORK 1-1 BLD. EXPLMB. 1-1 MECH. ❑ M.H. El POOL OTHER CERTIFICATE Req'd. Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 ,TER SC�'TII�R FEES COLLECTED
VALUATION SOURCE GAS I ELECTRIC I WATER SEWER
OF Ownership FUSECODE
9. UTILITIES Public ❑Private ❑ 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing 3.00
DATE OF APPLICATION 1/12/81 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE VFAR FRAM nATF OF ISSl1ANCF
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 3.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
011;+ 1 -$.�j` 3 34 * 3.0 0 0
nATG ICCI ICrI DCOIIAIT Kin TATA I
03* *3.00
*3.00
*3,000
A *C. 1;0 12)
35,2_.`-
C1;12-81
L79,
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