1980, 01-15 Permit: 80-0199 Water SoftenerPLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER --I
r 18 �
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE 1/15/80
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
- * !� C,
' r
JOB ADDRESS
ROCKWELL, E. 12906
LEGAL DESCRIPTION — SEE ATTACHED
i.
* 3, `)
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2
E {l
OWNER
PHONE
3. EDWARD A. PEIRSON
1 9 8;9
ADDRESS
ZIP
Required Set Backs in Feet
SAME
North South East West
0 1 — 1 5— 8 0
fl 9,
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
SOFT I
_
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
e. 25 3rd
99202
I
Dyes ❑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.
TYPE 1-1 NEW 11 ALT. L1AD'N. El RPL. ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF ❑ OTHER
,
CERTIFICATE
Req'd.
Recd.
Not Req'd.
1:1BLD. [X PLMB. ElMECH: ElM.H. 1:1POOL
WORK
of EXEMPTION
I
DESCRIBE WORK WATER SOFTENER FEES COLLECTED
8.
VALUATION SourceGAS ELECTRIC WATER SEWER
of
9. Utilities
Single $
o
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the 3.00
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
3.00
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS�BICO`jM A P� MIT.
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