1981, 01-27 Permit: 81A-917 Water SoftenerAPPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK ISUBDIVISIOJ4 I PARCEL NUMBER/S
OWNER PHONE J
3 ADDRE S ZIP ` ® Actual Set Backs in Feet
d3 7 North South East West
C NT ACTOR PHONE Size of Parcel Zone Classification
4,-3-
4. AD ESS ZIP Type Const. Occupancy Sprinklered
Z, ?2,0 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. kPLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
D SCRI E WO K Enum. Dist. Location (Area)
8 %'' FEES COLLECTED
VALUJNTION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOI S Public []Private ❑
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�sc
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 L -4Z -7-71 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 5'
do
PERMIT NUMBER
Z�_ �/�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
J I
n
n9 Tegnicia,p PERMIT IS NONTRANSFERABLE Q.l ' 7 -,R'1, 0 1171 4'5 n n 2 -+
,-..
Ci
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
J I
n
n9 Tegnicia,p PERMIT IS NONTRANSFERABLE Q.l ' 7 -,R'1, 0 1171 4'5 n n 2 -+