1979, 09-20 Permit: 79-4357 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 4 COPIES
JOB ADDRESS
/�J J e ,21/43/3—
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
ADDR ES
CONTRACTOR
12—.4i — (94 /C-e----A--a/
5.
DESIGNER
�9'9/896 /
PHONE
7.9 // 7�
PHONE
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East 'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Valuation I Building Area in Sq: Ft.
ADDRESS
ZIP
DWL Area !Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
8.
9.
TO
SpIlt Entry
Split Level
Rancher
❑ NEW
❑ BLD.
DESCRIBE WORK
VALUATION
❑ ALT. 0 AD N. 0 RPL. 0 MVE.
PLMB. ❑ MECH: 0 M.H. 0 POOL
Source
of
Utilities
GAS
0 OTHER
ELECTRIC
No. Baths
No. Floors
No. Rooms
Rec. Room
WATER
CERTIFICATE
of EXEMPTION
SEWER
Req'd.
I hereby certify that I have read and examined this applica ion 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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: -
DATE
O/1F
IC
APPRI* D FOR ISSUANCE
Recd.
Not Req'd.
- FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ —
P
PERMIT NUMBER
—
DATE
03* *300
*300 t5
*3006
•E *Q00 8
4356B
09-20-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09":20')-7lg 4,35.72 e3.00:2g