1980, 01-07 Permit: 80A-9856 Water Softener PLAN NUMBER APPLICATION/PERMIT , [!-i� l 1 17�1�"j1J
PERMITNUMBEERC _ _�./
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
03 * *3,00
JOB ADDRESS
1. 5. /1
/4 ie fe,55 AL &EGAL DESCRIPTION — SEE ATTACHED * 3,0 0 ""
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 3.0 0 y
2.
OWNER 6PHON E ' 0.0 0 C8>
'lr a goo V7/
3 ADD S1� � ZIP S // Required Set Backs in Feet 9 8 5.5 2
17� 6--e5 /cC� G� CQ North (South East 'West 0 1 -0 7—8 0
C NTRA OR / PH NIE Size of Parcel Zone Classification
4" AD RF/3�1� ^ ?,) 7 ZIPP l Type Const. Occupancy Sprinklered
(/�����,//-,�Y {/�� PC). U ❑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.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW D ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK ❑ BLD. ,PLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. �z-2�J FEES COLLECTED
VALUATION S rce GAS ELECTRIC WATER SEWER
of 1
9. Utilities ,
Single $
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 3')to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
cic
SEPA o
Planning
CJ
w
Mobile Home cz)
Fire Marshall
Co. Engineer Other (Specify)
Utilities TOTAL $ '—"
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist '� '/�L THIS BECOMES A PE((�RMIT.
DATE FFICIAL t± _ CIAM A ✓� _ U CA—
C / l{ 985.6 * �.O0 2.F"
APPROVED FOR ISSUANCE
—