1982, 12-29 Permit: 82B-2353 Water SoftenerPLAN NUMBER APPL IICAT ION /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 PARCEL NO.
2. LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION:
OWNERPHON PHONE
3. FW k5.
MAILING ADDRESS Actual Set Backs in Feet to:
C'(, C)qo 3 North South East West
CONTRACTOR � LICENSE EXPIRES P ONE Size of Parcel Zone Classification Residential ❑
4. , Commercial ❑
ADD ESS
ZIP
Type Const.
Occupancy
Sprinklered
41 r_)0
G�
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROMTO
Cover Deck
Uncv. Deck
Fin. Basement Unfin. Basement
s.
�
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE f�J NEW E3 ALT. El AWN. ❑RPL. ElMVE.
7 ❑OTHER
WORK ElBLD. D-PLMB. ❑ MECH. ElM.H. ElPOOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes ❑ No ❑
DESCR E WORK
8
Shorelines/ Flood Hazard
Plans Required ❑
C�
Yes❑ Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS ELECTRIC
WATER❑
PUBLIC
TI
SEPWA E❑
OwnershipOF
FEES COLLECTED
9
I
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
6,
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION
I Z- g%
Mech.
OWNER OR AGENT DATE
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
SEPA
Planning
Modular/
MFG. Home
Fire
Prevent.
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building l2 IN 180 DAYS
Tech. n
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED I
THIS BECOMES A PERMIT.
DATE ISSUE� PERMILN.O.S, 3 z * S. 0 �O 4O#AL
PERMIT NUMBER
`_ - 2
PACE,
u