1980, 10-14 Permit: 80B-1975 Water Softener (PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
� / SPOKANE COUNTY — BUILDING CODES DEPARTMENT , 808--i?76—
V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS • C * * 7. Q C
1. Ll jAl rr ;id_ LEGAL DESCRIPTION - SEE ATTACHED
LOT BLO K S BDIVIS PARCEL NUMBER/S
2. * 3006
OWJVER 17 ) PHONE
3. �.G-2'(- vl. a- r ct ✓� 9"62 �33/G>
A . 0, IJP
_..-
el
( ZIP Actual Set Backs in Feet 9 7,Q
~'p i.Z ✓` -5,)4'/24c.i -P.a RJ�`Gj f, 9�'�-`� North 'South East 'West 1 0
-
1 4-
8 0
CONTRACTOR 1 :• PHONE Size of Parcel Zone Classification
4. '<, ,ma/t ' /11,,0,4'zi- C-L+�- 4.5,17— ,0,: CJ 6,4 7 9,
ADD, ESS Sia.-4.
, / ZIP Type Const. Occupancy Sprinklered
6' -z. ..- 1 - . 6' J�,L [LGi Y%2� 9'92d- ❑Yes ❑No 0 Req'd.
DESIGNER 1
PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
r
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. A PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DE C.sjiRI E WORK Enum.Dist. Location (Area) T
' I FEES COLLECTED
VAL ATION'SOURCE GAS ELEC I RIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0
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
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 /U '-'G} - i J SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ?"
Planning 2
O
U
Fire Marshall Mobile Home —
u..1
72
Co. Engineer Other (Specify)
Utilities
TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B •diry Technician PERMIT IS NONTRANSFERABLE I.
tl '-'.ia4 -'•t8 U 1 9 7, 5 o * 3, 0 0 c —
. sy,,. 4L PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL