1982, 12-29 Permit: 82B-2339 Water SoftenerPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1. 15�-
LOT
2.
___j
OWNER
,
3.
MAILING
4. � !64
ADDRESS
5 - --17t2
DESIGNER
5.
ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PARCEL NO..
CHANGE OF USE FROM
6.
TO
PHONE PHOlf
IP
LICENSE EXPIRES PHONE
ZIP
PH NE
ZIP
AL DESCRIPTION:
PERMIT NUMBER
0-2- r2 -- 27,>4
North South East I West
No. Baths
Size of Parcel
Zone Classification
Residential ❑
Commercial ❑
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑Req'd.
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
Main Floor
per Floors
Garage/Storage
Greenhouse
Cover Deck
Uncv. Deck
Fin. Basement Unfin, Basement
Utilities
Plans I I i I PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech Ing t�^ IN 180 DAYS
TOTAL $ 5r
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
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No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE ��%
11 ALT. ❑ AD'N. 11 RPL. ❑ MVE.
7• OF ,kt'NEW
❑OTHER
Certif1.ofExempt.
Required
Yes❑ NOD
Number
WORK ❑ BLD. LMB. ❑ MECH. ❑ M.H. ❑ POOL
or Variance
Received
Yes❑ No❑
DESCJI E WORK
8•�.
Shorelines/ Flood Hazard
Plans Required ❑
yes NotApplic. ❑
Received ❑
VALUATIO SOURCE GAS ELECTRIC PUBLICO SEPTIC Ownership
FEES COLLECTED
9• UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑
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
Building
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 the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION JJ
OWNER OR AGENT DATE r�'
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
Fire
Prevent.
Engineer i
Other (Specify)
Utilities
Plans I I i I PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech Ing t�^ IN 180 DAYS
TOTAL $ 5r
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
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