1981, 02-06 Permit: 81A-1245 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE•JJASuQNGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3_COPIES
JOB ADDRES
2.
3
4.
LOT
OW
CONT
BL K
i�AQ, . - 7</f�-,o,
SUBDIVISION
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/U//��� ; pees) /
i(L/oZ6 ri�eer)Com.
CTOR 111• /07111
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/fes
ESS
S. 7n 7
DESIGNER
5. ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
QcaPHONE
j' 77564
ZIP
Z2a (i
PHONEa7a
ilk 70
PHONE.
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
Size of Parcel
Type Const.
Valuation
Occupancy
East
'West
Zone Classification
Sprinklered
❑Ves ❑No 0 Req'd.
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors, 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Docks
Finished Basement
Unfin. Basement
TYPE, rid -NEW 0 ALT. 0
7. OF �`-S LL..,,'�
WORK ❑ BLD. 2E PLMB. 0
8. DESCRIBE WO
AD N. 0 RPL.
MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
l,0#9-/-'eR
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATE
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that 1 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 INSPECT/SNS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
• Planning
re Marsha
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing Te Nc an c
SIGNATURE OF APPLI
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.-
Plan Check
SEPA
Mobile Home
Other (Specify)
.5-00
TOTAL
$
PERMIT NUMBER
014- PAS
03* *50,0
*500
*5006
A '• *00,0 0
1244R
02-06-81
2 6479,
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Y.
,0121171010.8J;
DATE ISSUED
124'5_
* 5.0.0 -
PERMIT NO. TOTAL