1981, 06-08 Permit: 81A-5563 Water SoftenerPLAN NUMBER
APPLIC'►T4CN/PERMIT
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
FILE
LEGAL -DESCRIPTION — SEE-ATJACHED
LOT
2.
BLOCK
SUBDIVISION .
PARCEL NUMBER/S
3.
4.
5.
OWNER
Richard Huff
ADDRESS
E. 11516 Grac e
PHONE
928-2266
CONTRACTOR
Servisoft Systems
ADDRESS
W. 507 Indiana
DESIGNER
ZIP
99206
Actual Set Backs in Feet
North (South
East
'West
PHONE
328-6651
Size of Parcel 1 Zone Classification
ZIP
99205
Type Const.
Occupancy
Sprinklered
Oyes ONo O Req'd.
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors. Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unf in. Basement
O NEW
O BLD.
❑ ALT.
PLMB.'
O AD N.
O MECH.
❑ RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
Soft Water
Enum. Oist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public O Private 0
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
- DATE OF APPLICATION 6,(4/81 SIGNATURE OF APPLICANT(\
SPECIAL APPROVALS'
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
utilities
Plans Examiner
SEPA Checklist
Buil g TeMnician
itchey f. T-),
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing 5.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 5.00
03* *5.00
*500 to
*5.006
A *000 0
5,5622
`06=08-8,1
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED , PERMIT NO
*5.0'0 a. I—
TOTAL
>-
a. a.
C
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