1979, 11-26 Permit: 79-8325 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB AD SS
q
LOT
2
BOCK15UB 1IV ION
arr
b-th-A7v
LEQAL'DMSCRIPTION — SEE ATTACHED
OWNE
ADDRESS
CORACTOR
ADDRESS./
aue
PHONE
ZIP
PHONE A/SC-305Z
ZIP
gg2Oa
PARCEL NUMBER/S
Required Set Backs in Fee
North
Size of Parcel
Type Con
South
Occupancy
East 'West
Zone Classification
Sprinkleren
Dyes DNo D Req'd
DESIGNER
PHONE
•
Valuation
Building Area in Sq. F
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
D NEW
❑ BLD.
D ALT.
D PLMB
D AD N.
D MECH
❑ RPL.
D M.H.
D MVE.
D POOL
0 OTHER
No. Baths
No. Floors
No. Room
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd
Not Req'd.
DESCRIBE WORK
8.
VALUATI Source
•VV of
9. Utilities
SLl /tti
GAS �ECECTRIC
WATER
SEWER
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
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 -
REO'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Check
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL S 3
DATE
P
PE MIT NUMBER
a
03* *300
*300 >n
*300'6
6 *000
8324
11-26-79
2 6479.
DATE_% / FFI CIAL 0,-.444-4-400-174 1
APPROVED FOR ISSUANCE
WHEN MACHINE VALIDATED IN THIS SPACE
THIS f!COMEtS A ERMIT.
832;55 *3.0Olpi