1981, 05-15 Permit: 81A-4791 Water SoftenerPLAN NUMBER
APPLICATIud/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 00DDRSS
1. �_ 1 ESS hiI '�c� i LEGAL DESCRIPTION — SEE ATTACHED
OYVNER
1-11Q LA
3. A
rif
CONTRACT
4. AD ESSt�
2
DESIGNER
5
=61 0L 10
ZIP "
Actual Set Backs in Feet
I�L0
I Upper Floors
Garage Area
North South East West
PHC)P
Size of Parcel
Zone Classification
(NE –7�
4 — u
Finished Basement
Unfin. Basement
ZIP
Type Const.
Sprinklered
XD
FOccupancy
[--]yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
PERMIT NUMBER
5[A_
[ - 4-_7 c
`0 L;
ti 7 ';, 0
05 1,5—Q1
6479
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF J ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. L°7 PLMB. ❑ MECH. ❑ M.H. El
WORK
of EXEMPTION
I
DES RIBE WORK Enum. Dist. Location (Area)
8 �� ,0/z
FEES COLLECTED
VALUATION SOURCES GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIEPublic ❑ Private ❑
I
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
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 5,00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
WKI ICA
f
DATE OF APPLICATION v i SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities�7
, p 0
TOTAL $ ' ,j
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
BuiIdin Tech cia PERMIT IS NONTRANSFERABLE
.Q 5ji-1 5 —. s T
4'7 9� 1 z
n .1-19�1
* 5e, 0 0 f'-