1980, 10-31 Permit: 80B-3028 Water SoftenerPLAN NUMBER
APPLICATION/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
f.ri, x/07
LOT I BLeCK
2. .
OWNER
e. 5.e-i-/-azvt.ce..
PHONE
qz 7$
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
ADDRESS P ( den -ad SlcjU
ADD S
e z2fc
3 LL_4 /L 1cz-
ZIP
P9.2DG
PHONE
Actual Set Backs in Feet
North !South [East !West
Size of Parcel , 1 Zone Classification
ZIP
gg24 t
Type Const.
Occupancy
Sprinklered
DYes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE 0 NEW , 0 ALT.
7. OF
WORK 0 BLD. Id PLMB.
•
TO
Area of Decks
Finished Basement
Unfin. Basement
O AD N.
O MECH.
O RPL.
O M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8.
ESCRIBE WO K
. /SP
SOURCE
OF
UTILITIES
VA UATION
GAS
ELECTRIC
WATER
SEWER
Enum. Dist.
'Location (Area)
Ownership
Public 0 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 /7l% "+1J J' r]'~i1 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
•
SEPA Checklist
Bu ding Tec loan (
/ Lg &4/
SPECIAL CONDITIONS:
•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
2.2
Plumbing
Mech.
Plan Check -
SEPA
Mobile Home
Other (Specify)) /
TOTAL $ 3
PERMIT NUMBER
�v t3-3028
03* ' *300
*300 I
*3008
A *000 0
3027B
10=31-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
30.!2'8'z ss. 3.00ae. —
PERMIT NO. TOTAL