1982, 12-29 Permit: 82B-2349 Water SoftenerPLAN NUMBER I At VL IUA 1 IUN / 1JLKM IT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE3 COPIES
STREETADDRESS
Cover Deck
PARCEL NO.
Fin. Basement
Unfin. Basement
s.
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
TOF YPE
No. Baths No.
I
Floors
OW ER
No. Dwellings
FTN EW El ALT. El AD'N. ❑RPL. ❑ MVE.
7. ❑ OTHER
P ON
PHONE
WORK ❑BLD. r3 PLM6. ElMECH. ❑ M.H. ❑POOL
Certifi.ofExempt._T
Required
' ��
Number
3.
Received
Yes❑ No❑
DES RIBE WORK
8•
Shorelines/ Flood Hazard
Plans Required ❑
MAI
INGADDRESS
I
Received ❑
ZIP
Actual Set in eetto:
PUBLICO
' �v�
4V
Ownership
North South East West
CONTRACTOR
LICENSE EXPIRES
PHOINE
Size of Parcel
Zone Classification
Residential ❑
4.
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
Commercial ❑
AlrE
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes 0 N ❑Req'd.
i
J
Plumbing
SIGNATURE OF APPLICATION �'� r7
DESIGNER
PH NE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
c
Plan Check
Env. Health
ADDRESS
ZIP III Main Floor I Upper
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
s.
TOF YPE
No. Baths No.
I
Floors
No. Fin. Rooms
No. Dwellings
FTN EW El ALT. El AD'N. ❑RPL. ❑ MVE.
7. ❑ OTHER
WORK ❑BLD. r3 PLM6. ElMECH. ❑ M.H. ❑POOL
Certifi.ofExempt._T
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
DES RIBE WORK
8•
Shorelines/ Flood Hazard
Plans Required ❑
Yes Not Applic. ❑
Received ❑
VALUATION �OF URCE
GAS ELECTRIC
PUBLICO
SEPTIC ❑
Ownership
FEES COLLECTED
9 LITIES
PRIVATE ❑
SEWER ❑
Public ❑Private ❑
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
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF APPLICATION �'� r7
OWNER OR AGENT DATE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
Fire
Prevent.
Fnninr r
I I
Other (Specify)
PERMIT NUMBER
ids ~ 2—
Utilities Utilities
TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPAC
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building i IN 180 DAYSz
_� 9 o
DAT SUE t PERMIT'4 �. T 9
* 7. 0 0 0dTAL
CL
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V
W
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LL