1981, 01-21 Permit: 81A-0714 Water Softener/ IPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. SOUTH 421 FOREST MEADOW LEGAL DESCRIPTION —SEE ATTACHED
LO BLOCK Sl DIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3 PAUL INMAN 928-2589
ADDRESS ZIP Actual Set Backs in Feet
North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
a T WATER OF SPOKANE INC 624-1243 1
ADDRESS ZI(P�Type Const. Occupancy Sprinklered
E. 28 SPRAGUE AVE. 7 /(� 202 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENEW ❑ ALT. K ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwellings
7, OF t 1 ❑ OTHER
WORK ❑ BLD. XD PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
s. WATER SOFTENER FEES COLLECTED
\ VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
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 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 .5-.00 00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 10/1/80 SIGNATURE OF APPLICA��L Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
NAME DATE
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities TOTAL $5.00
aurin
echn clan r rPERMIT IS NONTRANSFERABLE
nr-.AST
-t-C AAI. VLA- C- .. -A— M. ICC. IAKI! 0
PERMIT NUMBER
oill" I ofA- - a-7(4-
03* *500
*5,00
7 1: 3
01`21-81
C
6 117 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7142
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