1980, 12-09 Permit: 80B-4636 Water SoftenerNUMBER APPLICATION/ 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
r � LEGAL DESCRIPTION —SEE ATTACHED
t . n J 1,
LOT I BLO K SUB IVISION PARCEL NUMBER/S
2.
OWNER PHONE s�
3 ADDRESS ZIP CJ Actual Set Backs in Feet
C, - e Li North South East West
C NTR CTOR PHONE ry Size of Parcel Zone Classification
4. ADD ESS ZIP Type Const. Occupancy Sprinklered
GY;L(j, El Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Ar7 Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement
s.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. A] PLMB. ❑ MECH. ElM.H. El POOL
of EXEMPTION
D CRI E WOR Enum. Dist. Location (Area)
FEES COLLECTED
8 r
VAL TION SOURCE GAS ELECTRIC WATER SEWER lOwnership USE CODE
9. UTILOITIES Public ❑Private 1-]
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 .�
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION J_ — SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env.
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ng Tecyician .� PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
:?d,4- 46,3E
;)3* *70C
*7 0 C Y
463.5
12-09-8,
6.47
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4,6.1'61
DATE ISSUED PERMIT NO.
*000-1 -
TOTAL