1981, 04-09 Permit: 81A-3312 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
1. e: /2SOS Jf'.br.NZ NnTt.€2
LOT BLOCK SUBDIVISIO
2.
LEGAL DESCRIPTION — SEE ATTACHED
Oy�NER
Lp t ' aa
ADDRESS 7I
e,
CONTRACTOR�//
�-
4. p44Y - 4.4rtsupera.+114--Gt• y/
ADDREESS �7
f.. Q 3-714 G0.,te. 7•4244-4/742—
5.
DESIGNER
PHONE L
92-R-32 751/
PARCEL NUMBER/S
f
ZIP
992/!0
Actual Set Backs In Feet
North !South [East 'West
PHONE
.`i SS-goSD
Size of Parcel 1 Zone Classification
ZIP
99zo.2
Type Const.
Occupancy Sprinklered
❑Vas 0No D Req'd..
PHONE
Valuation I Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage •
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW
O BLD.
0 ALT.
fx1 PLMB.
O AD N.
O MECH.
0 RPL.
O MVE.
❑ POOL
•
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
SCRIBED
$
VA A IO SOURCE 1 GAS ELECTRIC
OF
9. (UTILITIES
Enum. Dist.
Location (Area)
WATER
SEWER
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 �L -�I -f(/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities '
Plans Examiner
SEPA Checklist
Bwlding Te hnici n
i?� .1�a ,
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE - DATE ISSUED PERMIT NO. TOTAL
FEES COLLECTED
Single $
Building
a6
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
03* *5.00
* 5.0 0 tti
*5.006'
A *00.0 S
331.`.1 2
04-09-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES'A PERMIT.
'0' :i;;,(0!9.u',g4i
3'3.12'Z
3.0'0,2 1-1 _