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1981, 12-30 Permit: 81B-3048 Water SoftenerPLAN NUMBER APPLICATION- 4'ERMIT SPOKANE COUNTY — BUIL[' =,'CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, -r1 ._GTON 99260 / (509) 456-3675 APPLICANT: COMPLET NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1. JOB ADDRESS /a6 1 LEGAL DESCRIPTION - SEE ATTACHED• LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. 3. OWNE RESS CO !T/J ACTOR (V2 PHONE 9af �i‘ ESS 16 DESIGNER 6' ADDRESS PH / E4,sr A� ., —/i 7 d Actual Set Backs in Feet North (South Size of Parcel E est Zone Classification Type Con Occupancy Sprinklered Oyes 0No 0 Req'd PHONE Valuation Building Area in Sq. Ft ZIP Main Floor Upper FIOo Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basemen Unfit). Basemen TYPE 7. OF WORK O NEW ❑ BLD. — DESCRIBE NIORK 8. fly,-utt Wz iZ VALUATION SOURCE GAS ELECTRIC WATER OF ly 9. UTILITIES 4'C DALT. 0 AD N. LIg PLMB. 0 MECH. ❑ RPL. ❑ M.H. ❑ MVE. 0 POOL ❑OTHER No. Baths No. Stories No. Room No. of Dwelling CERTIFICATE of EXEMPTION Reg Recd NOt Req'd. Enum. Dist. Location (Area) SEWER Ownership Public 0 Private 0 USE CODE 1 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 orcal law regulati. r construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSCTIONS DATE OF APPLICATION • / SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Englnee Utilities Plans Examiner SEPA Checklist echnl SIGNATURE OF A SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building h/� Plumbing �./ od Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER S `✓ -- 304"0 03* *500 *500 *5.006 A *QQ0 0 30Q7g X12-30-81 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1,Q;71'510 81 . DATE ISSUED' PERMIT NO. 30,48'5 *5.O0 TOTAL T 0 0 0 UJJ ly