1980, 02-26 Permit: 80-1515 Water SoftenerPLAN NUMBER APPLICATION/PERMITPERMIT
NUMBER
i. IAP
4'-700 -1151
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
IJ 3 ("t
e
JOB ADDRESS
l3l� M),
LEGAL DESCRIPTION — SEE ATTACHED
C�
* 7 r
J. u -
LOT
I BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
C.
OWNER/Pki
ONE
�
1 1.4
ADDRESS n
ZIP
Required Set Backs in Feet
�' `J ? ✓ 9 / /� ,� l,[T/J
!% 'f
j/�cL�
North South East West
0 2 2 6) — �
CONTRAC R
PH�Q9N4�E
Size of Parcel
Zone Classification
t�Q/
-7
-70
6479.
`
4' ADD RE
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
No. Baths
I No. Floors
No. Rooms
I Rec. Room
7. OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
11 BLD. �PLMB. 11MECH: EDM.H. ❑POOL
WORK
of EXEMPTION
DESCRIBE WORK
8 , )�� FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9.
of
Utilities
T Single $
o
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 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 Od
Plumbing
performance of construction.
DATE SIGNATURE— Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
—
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities 400
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
`- ? is (�
fib -$OFFICIAL / I
I % V J
DATE,2 –