1980, 11-12 Permit: 80B-3618 Water SoftenerPLAN NUMBER
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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
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1.A L
T BL C DIVISION
2.
•,
NER
LEGAL DESCRIPTION — SEE ATTACHED
/
A
DRESS
CONT'•CTOR
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�y4
PHONE
ZIP
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
East (West
PHONE
Size of Parcel
Zone Classification
4. ADD ESS
eLt.
DESIGNER
ZIP
.�i
Type Const.
-z
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basemen
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
E OTHER
No. Baths
No.,Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. ~n:%,-
VA ATION SOURCE GAS ELECTRIC
OF
9. UTILITIES
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership
Public ❑ Private 0
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION If --1 —1° SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bt♦ilding Tephni4
�l IO f / nS�"/1.),7//
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
DGDr Irr CVDIDFS (INF VFAR PRf1M rlATP flF ISSIIA sI F
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
f
PERMIT NUMBER
03* *3,00
*3,00
*3.006
A *0.00 8
361,72
11-12-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1H-12-80
rIATC ICC1 ICrI
36182 *3000°F