1980, 12-09 Permit: 80B-4630 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
LO BOLO
d -2 ?� (0 r oci ra-
C/ NIT CT/R/ -g� 0
4. ;5c1G�Zittriden(-14.ele1—/
5.
ADD ESS
S
DESIGNER
PHONE
9241 -go go -
e -2
o -
ZIP
gfr2o6
PHONE
455-PO.Sd
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
Size of Parcel
East
'West .
Zone Classification
ZIP.
99za..
Type Const.
Occupancy
Sprinklered
Yes ONo 0 Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
❑ NEW
O BLD.
000 ALT. 0 AD N. 0 RPL.
pl PLMB. 0 MECH. 0 M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
6
DESCRIBE Wp RK
Jay / r�/%/rL,(,.-{W/'-'_
VAI-UATION
9.
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
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 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION /2-q 4 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technic)
/ . /
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
3� --
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify/.
TOTAL
do
$
PERMIT NUMBER
.aoa- 46:30
03* *30p
*3.00 rn
*3.00
A . *000
4'6292
• 12-09-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11121- 0,,t7.8 0'
DATE ISSUED
4:613:0 id
PERMIT NO.
•3.002. PI —
TOTAL