1980, 03-20 Permit: 80-2441 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
DATE
DESCRIBE WORK
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
VALUATION Source G ELECTRIC WATER SEWER
JOB ADDRESSon-
of
9, 1 Utilities
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
1.
Building
1110f,
�tAs.,."Qtc-
NQ
LEGAL DESCRIPTION - SEE ATTACHED
performance of construction.
LOT
BLOCKUBDIVISION
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
PARCEL NUMBER/S
2.
Env. Health
I
SEPA
Planning
Fire Marshall
OWNER
Co. Engineer
Other (Specify)
°Iities
PHONE
3.
\
WHEN MACHINE VALIDATED IN THI
4�
THIS BECOMES A PERMIT.
7
DATE OFFICIAL
ADDRESS
ZIP
Required Set Backs in Feet
Q
{
North South East West
CO ACTOR
PHONE
Size of Parcel
Zone Classification
4'
ADDR S
ZIP
Type Const.
Occupancy
Sprinklered
Cl Q a 0A
IElyes ❑No ElReq'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW
1-1 ALT.
1:1AWN.ElRPL.
ElMVE,
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD.
❑ PLMB.
❑ MECH: ❑ M. H.
❑ POOL
CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
I
of EXEMPTION
PERMIT NUMBER
DATE
DESCRIBE WORK
8
FEES COLLECTED
VALUATION Source G ELECTRIC WATER SEWER
of
9, 1 Utilities
Single $
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
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
performance of construction.
Plumbing
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
°Iities
TOTAL $
\
WHEN MACHINE VALIDATED IN THI
\ t
THIS BECOMES A PERMIT.
7
DATE OFFICIAL
11, 5:-2 Ly �` 8 1,•
l
64 ?9.