1982, 12-29 Permit: 82B-2345 Water SoftenerPLAN NUMBER APPL ICAT ION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
LICENSE EXPIRES
9
5.
ADDRESS
ZIP Actual t Backs in Feet to:
North South East West
PHOF4E Size of Parcel Zone Classification Residential ❑
Commercial ❑
ZIP Type Const. Occupancy Sprinklered
O2 ❑Yes ❑No ❑Req'd.
H NE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area
ZIP Main Floor I Upper Floors I Garage/ Storage I Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
s.
No. Baths
No. Floors
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
*)
cam.
PARCEL NO.
2.
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
OWNER
PHONE
PHONE
LICENSE EXPIRES
9
5.
ADDRESS
ZIP Actual t Backs in Feet to:
North South East West
PHOF4E Size of Parcel Zone Classification Residential ❑
Commercial ❑
ZIP Type Const. Occupancy Sprinklered
O2 ❑Yes ❑No ❑Req'd.
H NE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area
ZIP Main Floor I Upper Floors I Garage/ Storage I Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
s.
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building I IN 180 DAYS
Tech. 1
PERMIT NUMBER
e2-. -2-3 4-15 1
TOTAL $ P5'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEIS3UED� ^ ��jj
PERM1 0. 4,5 z
* S. U O i OlTAL
L
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE EW El ALT. ❑ AD'N. ❑RPL. ❑ MVE.
7. ❑OTHER
Certifi.ofExempt.
Required Yes❑ No❑
Number
WORK ❑ BLD. ZPLMB. ❑ MECH. ❑ M.H. ❑ POOL
or Variance
Received Yes❑ No❑
DESCR BE W K
8.
Shorelines/ Flood Hazard
Plans Required ❑
At
s s
yes El Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
WATPUBLIC ❑
C SEWAGE
SEPTIR
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
I SEWER ❑
Public ❑ Private ❑
1 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
OWNER OR AGENT DATE'S
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
Fire
Prevent.
Other (Specify)
Enaineer
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building I IN 180 DAYS
Tech. 1
PERMIT NUMBER
e2-. -2-3 4-15 1
TOTAL $ P5'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEIS3UED� ^ ��jj
PERM1 0. 4,5 z
* S. U O i OlTAL
L