1982, 12-29 Permit: 82B-2333 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY e2,-- ✓ 27'3
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 6 - 14 )(Del- - -14-/c19-,
LOT BLOC SUBDIVISI N LEGAL DESCRIPTION:
2.
3.
OWNER ri CS 'r IV V I r.i- "' 245-*[�-1 PHONE
MA,5, 14-
,1 "1 I C. `ADDRESS _ _9 , P� 2 � ActualrthSet Backs in Feet
East I West
CONTRACTOR C�• LICENSE EXPIRES PHONE Size of Parcel II Zone Classification Residential❑
O„s�r , A f I 4 . /' Commercial❑ x Yr ;
4. ADDRESS I � + v ZIP Type Const. Occupancy Sprinklered
r '
� 1141 R 1743 ?c 2— ❑Yes 1=1 No ❑Req'd. . 0
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5` ADDRESS ZIP Main Floor - Upper Floors Garage/Storage Greenhouse -
CHANGE OF USE FROM TO1 C
Cover Deck Uncv.Deck Fin.Basement Unfin.Basement l _
6. • f' a 7 ;,
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ., NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER .
WORK ❑ BLD. �PLMB. ❑ MECH. ❑ M.H. ❑ POOL orari.oExempt. Required Yes❑ No Number
Received Yes No
DESCRIBE WORK , Shorelines/Flood Hazard Plans Required
U. 1A1 A.1".61,0 0rl Vest: Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9. OF PUBLIC
E❑ SEWER❑ Public❑Private❑
UTILITIES
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 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF APPLICATION ?` .�� 7�^" Mech.
OWNER OR AGENT DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning ,
Modular/
MFG.Home )-
Fire a
•
Prevent. 0
Engineer Other(Specify) W
J_
Utilities
TOTAL $ `
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. ,
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Budding try IN 180 DAYS 1 7 •R
Tech. \.�� DATESL I� 9 _u C PERMIT2a 5 3 Z * 5,0 0 704AL