1981, 04-01 Permit: 81A-2942 InspectINSPECTION RECORD
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION:
DATE REMARKS:
t.
er�y./ZADDRESS
"1 t;[
yWNER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE. WASHINGTON 95290 / I509)45E-0805
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL. DESCRIPTION — SEE ATTACHED
DIVISION
V .et Tenl.i «s
ADDRESS
4912 6unnnde
CONTRACTOR
•
.Sydune Mater Softener Ino
ADDRESS
WI
IMI05 Northtown Office Bldg,
PHONE
gp4_RSI.D
99216
PARCEL NUMBER/S
North
Ash.,
Set Bache
'southht
iE.., Iwn,
PRONE
489-6556
Sim of Parcel. (Zone Classification
IIP
99207
OueP.nay
❑v, Ono 510 Pee,.
DESIGNER
5. ADDRESS
PHONE
Valuation Building Area 0 So. Ft.
Zip
MHn moor 1
Upper Flaon% I Owego Area
CHANGE OF USE FROM (TO
fl I
Are. or Deco
FInIMea 8Wornent
Wain. Basement
TVP. Ute. 0 ALr. 0 ROW. 0 RPL ' 0 M0!,
1,•WORN 0 OLD. 1791.....-. 0 PARCH. 0 M.H. 0 POOL 0 OTHER
OESCAlet WORN
9 A ,slatic0 of Water Softener
V LU NII OURCF II OAS ELECTRIC
ene
B. UTISTIES
WATER
SEWER
No. Bens I No. Stoaea 1.1t.
No. Room [eo. of DwNlinee
R.rvot Rp'd'
CERTIFICATE Ree'e.
of EXEMPTION
Enum. DAL ILoeatlon (Area)
Ownership use CODE
Pu0110 D PNeate ❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on revere side, and know The same to he true and correct, All provisions of laws and ,,Idlnances governing this
type of work will be complied with whether specified herein a not. The granting of ,I I does notpresume
To give authority to violate Or Cancel the provisions Of any other stale 0/ local law ream ling r:nStrUCtion 01 the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT
•
•
DATE OF APPLICATION 3/47j SIGNATURE OF APPLICANT
OWN- APPROVALS
SPECIAL CONDITIONS:
FEES COLLerreo
Sire1 $
Building
Plumbing
Mech.
Plan CANS
$IPA
HOMO 80*.
Other 10p4Ci1y)
7BRMIT NUMKR
brA - �y4� �� r� ,
03* *500
«500F
«500
A -*f:10,0 8
294.19
04.01-8d
P 6479. .,
TOTAL S 5.00
WHEN MACHINE VALIDATED IN THIS SPACE,