1984, 02-22 Permit: 84A-1445 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE; WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. E. j2% :o I4OUV-
Ir
PARCEL NO.
2.
LOT BLOCK
SUBDIVISION
3
OWNER
A 4'
PHONE
PHONE
928-9370
LEGAL DESCRIPTION:
MAILING ADDRESS
-- SAAArnE
ZI P
Actual Set Backs In Feet to.
North jSouth [East ( West
4.
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel I Zone Classification
Residential 0
Commercial 0
ADDRESS
ZIP
Type Const.
Occupancy
Spr nklered
[Wes DM OReg'd.
5.
DESIGNER
PHONE
New Conet. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
UnfIn. Basement
TYPE gNEW 0 ALT. 0 AD' N. 0 RPL. ❑ MVE.
7. OF
WORK 0 BLD. 18.PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certdt of Exempt.
cc Variance
Required Yes❑ No❑
Received Yes❑ No❑
Number
8.
DESCRIBE WORK
WA ' SCA-115Pv.E( -
Shorelines/Flood Haze d
VesD Not Apollc.D
Flans Rep !red 0
Received 0
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation 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 au-
thority to violate or cancel e pr Isions of any oer state or local law regulating construction or the performance
of construction. SEER ERSE S E FD9"REQyiRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT.
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent,
Engineer
Utilities
SEPA
Plans
Exam.
Building
Twit.
M
2/74
APPLICATION Z/
DATE
SP>s'JAtD NDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
O ki
TOTAL $
PERMIT NUMBER
04A— s
03* *2000
14442
02-22-84
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATED ED2'2 -�g 4' PERMIT]NQ. y 5.z *210 0L