1979, 07-06 Permit: 79-121 Water SoftnerPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BOLU NG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS'S
LEGAL DESCRIPTION -SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
OWNER
3 ADDRESS
6'. / .2- 6 0 9
CONTRA TOR
4' ADD ESS
DESIGNER
. ADDRESS
ADDRESS
CHANGE OF USE FROM TO
6.
PHONE /
/ 12 - 01311'
ZIP
PHONE
7,0
ZIP
PHONE
ZIP
I YHE 1-1,I4EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
% OF E] OTHER
WORK 1:1BLD. PLMB. ElMECH: ElM.H. E]POOL
DESCRIBE WORK
equired Set Backs in Feet
Sou e
of
Utilities
Orth South
East West
ize of Parcel
Zone Classification
Single $
Type Const.
Occupancy
Sprinklered
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
I
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DATE SIGNATURE— Mech.
DWL Area
Basement Area
Garage Area
Storage
Env. Health
Split Entry
Split Level
Rancher
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
No. Baths
No. Floors
No. Rooms
Rec. Room
Zone Clearance
WHEN MACHINE VALIDATED
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
n nnnn�irn rnn inni�n ninr
FEES COLLECTED
I
PERMIT NUMBER
DATE
/0 3* *3.00
*3.00 t�
*3006)
A *0,00 00
1208
07-06-79
;F 6479.
VALUATION
9.
Sou e
of
Utilities
GAS
ELECTRIC
WATER
SEWER
Single $
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 Building
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
6t'�
performance of construction. Plumbing
DATE SIGNATURE— Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $, ,,>
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS�B7ECOMES APERMIT.
DATE OFFICIAL 'U / -- O 6 -- /7 9
1 2, 1 z * 3, 0 �� 0
n nnnn�irn rnn inni�n ninr