1981, 02-18 Permit: 81A-1610 Water SoftnerAPPLICATION/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
LOT I BLOCK SPARCEL NUMBER/S
2.
OWNER PHONE
3. '- IM '5AVAj&F-
ADDRESSI nq Y ZIP ff Actual Set Backs in Feet
�j: JG -,A a r 6ec T , �4.� North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
I— . ? T3iZD C1 ._ ❑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 TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑/ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
], OF ❑ BLD. rrJ PLMB. ❑ MECH. ❑ M.H. ❑POOL 1-1 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK a Enum. Dist. Location (Area) FEES COLLECTED
8• VU1� 1> Jl�lr i 6w1�
VALUATION I SOURCE GAS ELECTRIC SEWER USE CODE
9. UTILOITIES WATER Ownership
Public El Private ❑
Single $
I 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 presume Building
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 y'{7r�
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Healtn
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
uildinTecnnician
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ f-7.fL
PERMIT NUMBER
* J5100
I 6 0 9 .
C2-1 8-81
C'479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
02i-18',81: 16105
*5.00°aF -