1982, 11-30 Permit: 82B-1474 Water SoftenerPLAN NUMBER APPLICATION/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.
1. N. 210E Marguerite
2. LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION:
OWNER
PHONE
PHONE
Jerry L. Cleveland
927-8219
3
MG ADDRESS
ZtPQ
Actual Set Backs in Feet to:
U 2 0M6
North South East
West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
4. !,
A515-8050
Commercial ❑
ADDRESS
ZIP
Type Const. Occupancy
Sprinklered
E. 25 Third Avenue
99202
❑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 FROM
TO
Cover Deck
U-v. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE 11 NEW ❑ALT. ❑ AWN. ❑RPL. El MVE.
7. OF ❑ OTHER
WORK ❑ BLD. W PLMB. ElMECH. 1:1M.H. ❑ POOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
8. DESCRIBE WORK
Shorelines/ Flood Hazard
Plans Required ❑
Soft Water
Yes Not Applic. ❑
Received ❑
VALUATION
9.
I SOOUFCE
GAS
ELECTRIC
PUBLIWATER
SSEWAGE EPTIC ❑
U"nership
FEES COLLECTED
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
work will be complied with whether specified herein or not. The granting of a permit does not resume to
p p g g p p give au-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
5.00
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF SAPPLICATION
oft Water Service 11�30J82
OWNER OR AGENT DATE
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Utilities
SEPA
PlansPERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building t ( IN 180 DAYS
Tech. 3
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
n PERMIT NUMBER
TOTAL $ 5.00 I
WHEN MACHINE VALIDATED IN THI
THIS BECOMES A PERMIT.
DATE�11EQ O — PERMIT'NO. ( z * O TUiAL
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