1981, 01-12 Permit: 81A-365 Water SoftenerNUMBER
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 LEGAL DESCRIPTION — SEE ATTACHED
N 5320
LOT
BLOCK BDI I O
2.
OWNER
CLIFF JOHNSTON
PHONE
926-7557
ADDRESS SIM
19216
Actual Set Backs in Feet
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
SOM %kTM SERVICE CO
455-8050
4
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 25 Third Avenue
99202
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
Area of Decks
Finished Basement
Unfin. Basement
ITO
s.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPEr'�
❑ NEW ❑ALT. L.n.AD'N. El RPL. ❑ MVE.
% OF OTHER
1-1 BLD. IkPLMB. ❑ MECH. ❑ M. H. 1-1POOL11
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 %kTM SCIFTENM
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIESJ1
I
I
Public ❑ Private [1Single
$
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
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing 3.00
DATE OF APPLICATION 1419481 SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE—I i,,,/ �> _� Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer I I Other (Specify)
Utilities
Plans Examiner
PERMIT NUMBER
F/A ,5 6,5-
TOTAL $ 3.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
700
6 6- 7
n^� PERMIT IS NONTRANSFERABLE 0 1 T 1 f—'''8 11 3 .65'z * 3 0 0 ai-F