1979, 10-26 Permit: 79-6829 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 .r'^• _-
�� e`)
LM, AL DESCRIPTION -SEE ATTACHED
.41
f
7, OF❑ OTHER
1:1 BLD. PLMB. ❑ MECH: ❑ M.H. ❑ POOL
LOT
BLOCK
SUBDIVISION
Recd.
PARCEL NUMBER/S
2.
I
OWN
DESCRIBE WORK —_
PHONE
8.
VALUATION
S eirce
GAS
AO KESS
WATER
ZIP
Required Set Backs in Feet
�!
'
'sof
North South East West
CONT ACTOR �.-..
PHONE
Size of Parcel
Zone Classification
Single $
4.p ,-� .-� _
Z
1
Type Const.
Occupancy
Sprinklered
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to authority to violate or cancel the provisions of any other state or local law regulating construction or the
give
performance of construction.
Plumbing
DATE SIGNATURE
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
SEPA
Planning
5' ADDRESS
Mobile Home
ZIP
DWL Area
Basement Area
Garage Area
Storage
4
- ��•�
TOTAL $ "-
Zone Clearance
WHEN MACHINE VALIDAI
CHANGE OF USE FROM
TO
SEPA Checklist%
AaE`.'
L,y.
Split Entry
Split Level
Rancher
6.
No. Baths
No.
Floors
No. Rooms
Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF❑ OTHER
1:1 BLD. PLMB. ❑ MECH: ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK _,.
of EXEMPTION
DESCRIBE WORK —_
FEES COLLECTED
8.
VALUATION
S eirce
GAS
ELECTRIC
WATER
SEWER
'sof
Q,
Utilities
Single $
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 authority to violate or cancel the provisions of any other state or local law regulating construction or the
give
performance of construction.
Plumbing
DATE SIGNATURE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
4
- ��•�
TOTAL $ "-
Zone Clearance
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
SEPA Checklist%
AaE`.'
L,y.
�j 0',—.,2 6- 7 9i
OFFICIAL -4,, i
1
APPR(IVFD FSR ISSUANCE
PERMIT NUMBER i
Ii G 1
DATE /6 i , . f•
03* *3.00
*3,00 N
*3.00
E *0.00 n
6828
10-26-79
;? 6,479,
682,92 ;*3,OQ°�