1980, 01-21 Permit: 80-375 Water SoftenerPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK UBDIVISION PARCEL.,NUMBER/S
OWNER
3. --�'
ADDRESS
TRAC-
CON5:�..G
4' ADDRESS
DESIGNER
5' ADDRESS
R
CHANGE OF USE FROM ITO
6.
PHON
ZIP
Required Set Backs in Feet
North South
East West
PHOPjE
Size of Parcel
Zone Classification
ZIP ) �7
Type Const.
Occupancy
Sprinklered
`:X-
of EXEMPTION
❑Yes ❑No ❑ Req'd.
PHONE
lValuation
Building Area in Sq. Ft.
ZIP DWL Area I Basement Area Garage Area Storage
Split Entry Split Level Rancher
No. Baths No. Floors No. Rooms Rec. Room
I yrt LJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
%, OF OTHER
-1BLD.PLMB. ❑ MECH: ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Rec'd.7—t�
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
VALUATION
Source
GAS
ELEC IC
WATER
SEWER
9.
of
Utilities
Single $
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
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
performance of construction.
Plumbing
�1
DATE SIGNATURE _
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
nATFI %Np7mriai 1PLIX—\�QJ%APIA XVW
PERMIT NUMBER
10,- ? I -g C) 3�
DATE
i,n. o V
*-400
n r
01 —21 —80
;p b. 4 7 9,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS,BI.COMES A ERMIT.
Li