1980, 07-08 Permit: 80-6801 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
LOT
2.
BLOCK , Sa ON
u ` kc ct a �--z-
LEGAL DESCRIPTION — SEE ATTACHED
3.
OWNER Q
ADDRESS
a�. 0 :I) Aa1V-F
. a 1-1 ac-, cK �..
CONTRACT -0R
SFT U,Tha-V R ReTtC F
4.
PHONE
Q a$ —7(CrYc
ZIP "1"1 9. 1l0
PHONE
1�-%
PARCEL NUMBER/S
Actual Set Backs in Feet
North ISouth
East
'West
Size of Parcel
Zone Classification
ADDRESS
•
5.
TG
DESIGNER
ZlSSaoa
Type Const.
Occupancy
Sprinklered
❑Ves ❑No ❑.Req'd.
PHONE
Valuation
Building Area 1 Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
.Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
IJnfln. Basement
7.
TYPE
OF
WORK
NEW
0 BLO.
0 ALT.
PLMB.
❑ AD N. 0 RPL. , 0 MVE.
❑ MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. n 5�1 .4 p p, ( D fecce- Z �erETF Z
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF
9. UTILITIES
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 lava regulating construction or the
•performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION - SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Byying Te•h
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbin/
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
OO
PERMIT NUMBER
P $D-Co6c71
0'3* *300
*300 ti
*3008
E *000
6.8QoR
07-08-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.01T7;'0;0= 8j0.
DATE ISSUED PERMIT NO.
68Q&Z-
*3.'00°a IJ -
TOTAL