1980, 03-13 Permit: 80-2239 Water Softenercgs
(PLAN NUMBER
L.
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
2.
JOB ADDRESS
S. T/04 #o& ow Cr
LOT BLOCK SUBDIVISION
OWNER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5
3. R/CH/Wen �ivec y
ADDRESS
S.4/oG /7/0t-40 C'7'
PHONE
9zz-3sor
ZIP
99zo6
Required Set Backs in Feet
North 'South East West
4.
CONTRACTOR
S!9/he
PHONE
Size of Parcel 1 Zone Classification
ADDRESS
ZIP _, .
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation 1 Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE Ai NEW
7. OF
WORK 0 BLD.
0 ALT.
PLMB
❑ AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. /1t6779k W4rE2
SoPTE.e — SEifI S
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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 correc . 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 2f local regulating construction or the
performance yf con ruction.
DATE er/ /�2v7i SIGNATURE
DEPT.
SPECIAL APPROVALS
REO•D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist HOME OWNER'S WARRANTY .�
Nc
SPECIAL CONDITIONS:
11111' / y)
DATE •//9%9C OFFICIAL'� (J
APPROVED FDR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
AO -2237
DATE 3//51/8.0
03* *300
*300
*3006
E *Q00 g
2,2382
03-13-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'3;r fl'3" 18 O` 2 2.'3.0 z
* 30.0ha1
0
C)
0
UJ
0-
U)