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1980, 03-07 Permit: 80-1891 Water SoftenerPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT_ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (5091 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED LOT 2. BLOCK TSUBD VISION PARCEL NUMBER/S OWNER 3 %%7ur� ADDRE y CONTR TOR 4. N�db(—S— / ADD C ;)67 �l DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK 1)AJ '%O% PHONE, 9a y 6502Xz ZI PC . PHONE /i 71) PHONE ZIP Required Set Backs in Feet North 'South East ''West Size of Parcel - Zone Classification Type Const. Occupancy Sprinklered ❑Ves ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. DWL Area Basement Area ` Garage Area Storage TO Split Entry Split Level Rancher ®NEW 0 BLD. DESCRIBE WORK 8. VALUATION 9. El ALT. 0 AD N. 0 RPL. - ❑ MVE. L PLMB. ❑ MECH: ❑ altirc Source of Utilities 0 POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. GAS E E RIC WATER SEWER 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. DATE SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 3o& .366 TOTAL $ PERMIT NUMBER p sso 14Q DATE 03* *300 *300 b *3006 E *000 3 189.0 03.--:07=80 2 6.479. • WHEN MACHINE VALIDATED IN THIS SPACE, THISBECOMESA PERMIT. DATES D—%p7� OFFICIAL `+5' ,0,�._8rO1 18.915 *30.,O,2� APPROVED FOR ISSUANCE -